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General NPI Number Information
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NPI Number | 1588692131
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Entity Type | Individual
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Provider Name | AFSHIN ALLEN MASHOOF MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 19066 MAGNOLIA ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-2232
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Country | US
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Telephone | 714-378-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 30025 ALICIA PKWY # 157
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2090
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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 |
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | G86420
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License Number State | CA
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