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General NPI Number Information
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NPI Number | 1568408425
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Entity Type | Organization
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Legal Business Name | SIAMAK NABILI, M.D., INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 26081 MERIT CIRCLE #108
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 714-886-9707
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Fax |
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Provider Business Mailing Address
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Address Line | 14 MONARCH PLAZA #383
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City | DANA POINT
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State | CA
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Zip | 92629
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Country | US
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Telephone | 714-886-9707
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIAMAK NABILI
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Credential | MD
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Telephone | 714-886-9707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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