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General NPI Number Information
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NPI Number | 1609038256
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Entity Type | Organization
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Legal Business Name | VAHDATYAR AMIRPOUR M.D. INC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 2501 H ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2817
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Country | US
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Telephone | 661-327-2500
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Fax | 661-327-7090
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Provider Business Mailing Address
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Address Line | PO BOX 380
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City | BAKERSFIELD
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State | CA
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Zip | 93302-0380
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Country | US
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Telephone | 661-327-2500
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Fax | 661-327-7090
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MINA AMIRPOUR
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Credential |
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Telephone | 661-327-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | A44475
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License Number State | CA
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