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General NPI Number Information
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NPI Number | 1689120586
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Entity Type | Organization
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Legal Business Name | MARYAM SEDDIGH TONEKABONI, MD, INC.
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 16542 VENTURA BLVD STE 310
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City | ENCINO
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State | CA
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Zip | 91436-5038
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Country | US
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Telephone | 818-671-1989
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Fax | 818-739-0207
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Provider Business Mailing Address
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Address Line | 16542 VENTURA BLVD STE 310
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City | ENCINO
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State | CA
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Zip | 91436-5038
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Country | US
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Telephone | 818-671-1989
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Fax | 818-739-0207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARYAM SEDDIGH TONEKABONI
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Credential | M.D.
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Telephone | 818-274-4358
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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 | A118665
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License Number State | CA
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