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General NPI Number Information
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NPI Number | 1659366292
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Entity Type | Individual
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Provider Name | RAMIN AMANI MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 950 CIVIC CENTER DR # A
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City | VISTA
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State | CA
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Zip | 92083-5208
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Country | US
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Telephone | 760-439-4839
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Fax | 760-439-4841
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Provider Business Mailing Address
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Address Line | 18766 ACEITURO ST
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City | SAN DIEGO
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State | CA
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Zip | 92128-1301
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Country | US
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Telephone | 858-761-2802
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Fax | 760-439-4841
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | A53984
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A53984
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License Number State | CA
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