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General NPI Number Information
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NPI Number | 1588823181
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Entity Type | Individual
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Provider Name | PAYAM JARRAHNEJAD MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 465 N ROXBURY DR STE 1017
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4213
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Country | US
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Telephone | 310-993-3800
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Fax | 310-388-1617
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Provider Business Mailing Address
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Address Line | 465 N ROXBURY DRIVE SUITE 1017
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-993-3800
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Fax | 310-388-1617
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A89098
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License Number State | CA
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