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General NPI Number Information
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NPI Number | 1528229374
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Entity Type | Individual
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Provider Name | ALI PARSAEIAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 2822 E FLORENCE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5749
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Country | US
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Telephone | 323-923-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 S MISSION RD STE B
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City | FALLBROOK
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State | CA
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Zip | 92028-4168
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Country | US
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Telephone | 760-451-3500
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Fax | 760-451-3504
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A109642
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License Number State | CA
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