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General NPI Number Information
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NPI Number | 1548895824
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Entity Type | Individual
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Provider Name | MAHSA HATAMIFAR RDCS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2020
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 5810 VAN NUYS BLVD
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City | VAN NUYS
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State | CA
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Zip | 91401-4218
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Country | US
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Telephone | 310-310-4933
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Fax | 310-307-2997
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Provider Business Mailing Address
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Address Line | POBOX 25796
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City | LOS ANGELES
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State | CA
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Zip | 90025
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Country | US
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Telephone | 310-310-4933
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Fax |
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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 | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number | 213801
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License Number State | CA
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