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NPI 1538350392

NPI 1538350392 : AMIR BERJIS MD INC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1538350392
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMIR BERJIS MD INC 
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Dates
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    Enumeration Date     |    08/07/2007
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    Last Update Date     |    06/24/2015
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Provider Practice Location Address
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    Address Line         |    9900 STOCKDALE HWY SUITE 206
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-3632
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    Country              |    US
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    Telephone            |    661-663-7007
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    Fax                  |    661-664-9989
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Provider Business Mailing Address
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    Address Line         |    9900 STOCKDALE HWY SUITE 206
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93311-3632
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    Country              |    US
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    Telephone            |    661-663-7007
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    Fax                  |    661-664-9989
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. AMIR  BERJIS 
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    Credential           |    M.D.
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    Telephone            |    661-663-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    A75137
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    License Number State |    CA
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