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General NPI Number Information
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NPI Number | 1609930858
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Entity Type | Organization
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Legal Business Name | MASSOUD AMINI M.D. INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 7143 SEVILLE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4905
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Country | US
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Telephone | 323-587-0145
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Fax | 323-587-6591
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-0126
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Country | US
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Telephone | 323-587-0145
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Fax | 323-587-6591
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MASSOUD AMINI
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Credential | M.D.
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Telephone | 323-587-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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