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General NPI Number Information
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NPI Number | 1538488614
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Entity Type | Organization
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Legal Business Name | KAVEH S KASHANI DO INC
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 2575 S. CIMARRON DR. SUITE 104
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City | LAS VEGAS
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State | NV
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Zip | 89117-2682
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Country | US
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Telephone | 562-788-3362
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Fax | 562-788-7090
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Provider Business Mailing Address
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Address Line | P.O. BOX 6187
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 562-788-3362
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Fax | 562-788-7090
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAVEH S KASHANI
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Credential | DO
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Telephone | 562-599-9567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A10720
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License Number State | CA
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