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General NPI Number Information
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NPI Number | 1639731391
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Entity Type | Individual
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Provider Name | SAMEER ZAIDI MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1400 S GRAND AVE STE 707
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City | LOS ANGELES
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State | CA
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Zip | 90015-2881
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Country | US
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Telephone | 310-929-6336
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Fax | 833-714-2141
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Provider Business Mailing Address
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Address Line | 1906 OVERLAND AVE APT 302
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City | LOS ANGELES
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State | CA
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Zip | 90025-1266
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Country | US
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Telephone | 317-603-5115
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A182147
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License Number State | CA
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