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General NPI Number Information
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NPI Number | 1588004634
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Entity Type | Individual
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Provider Name | FERESHTEH HAJSADEGHI MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 23206 LYONS AVE STE 209
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2672
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Country | US
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Telephone | 562-852-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 20757 BERMUDA ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-1502
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Country | US
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Telephone | 562-852-0099
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125063271
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A137974
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | A137974
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License Number State | CA
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