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General NPI Number Information
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NPI Number | 1588540595
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Entity Type | Organization
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Legal Business Name | PACIFIC NEUROCARE
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1422 EDINGER AVE STE 130
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City | TUSTIN
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State | CA
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Zip | 92780-6298
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Country | US
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Telephone | 888-820-2424
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Fax | 888-807-2157
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Provider Business Mailing Address
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Address Line | 45 PALATINE APT 136
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City | IRVINE
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State | CA
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Zip | 92612-7637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAMIDREZA ABBASI
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Credential | MD
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Telephone | 888-820-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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