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General NPI Number Information
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NPI Number | 1598055857
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Entity Type | Individual
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Provider Name | ALIA SHIRZAD CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 14414 ADDISON ST UNIT 25
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-1787
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Country | US
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Telephone | 310-699-8099
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Fax | 888-906-3136
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Provider Business Mailing Address
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Address Line | 450 N ROXBURY DR STE 600
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4225
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Country | US
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Telephone | 310-699-8099
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Fax | 888-906-3136
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 636750
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License Number State | CA
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