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General NPI Number Information
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NPI Number | 1649459850
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Entity Type | Individual
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Provider Name | NASTARAN RAFIEI MD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 300 MEDICAL PLZ STE B-200
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City | LOS ANGELES
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State | CA
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Zip | 90095-0001
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Country | US
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Telephone | 310-825-2937
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Fax |
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Provider Business Mailing Address
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Address Line | 25304 PRADO DE NARANJA
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City | CALABASAS
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State | CA
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Zip | 91302-3672
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Country | US
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Telephone | 310-717-2829
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A100901
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License Number State | CA
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