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General NPI Number Information
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NPI Number | 1639801764
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Entity Type | Individual
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Provider Name | SAMAN SHARIFI DO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 18616 ROSITA ST
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City | TARZANA
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State | CA
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Zip | 91356-5305
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Country | US
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Telephone | 818-324-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 STARBOARD DR APT 2047
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City | LAS VEGAS
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State | NV
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Zip | 89117-3408
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Country | US
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Telephone | 818-324-1335
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SL1921
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License Number State | NV
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