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General NPI Number Information
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NPI Number | 1699796813
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Entity Type | Organization
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Legal Business Name | SHIRZAD A. ABRAMS, M.D., INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD SUITE 1150
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-501-5326
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Fax | 818-501-6958
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Provider Business Mailing Address
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Address Line | 16311 VENTURA BLVD SUITE 1150
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-501-5326
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Fax | 818-501-6958
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Authorized Official
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Title or Position | BOOK KEEPER
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Name | ERITE DANIAL
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Credential |
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Telephone | 818-501-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | A30870
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License Number State | CA
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