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General NPI Number Information
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NPI Number | 1639459654
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Entity Type | Organization
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Legal Business Name | FARHAD SIGARI MD FACS PC
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 4640 ADMIRALTY WAY 718
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6621
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Country | US
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Telephone | 310-823-4444
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Fax | 310-363-7085
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Provider Business Mailing Address
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Address Line | 4640 ADMIRALTY WAY 718
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6621
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Country | US
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Telephone | 310-823-4444
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Fax | 310-363-7085
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | DR. FARHAD SIGARI
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Credential | MD
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Telephone | 310-792-3914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A112988
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License Number State | CA
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