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General NPI Number Information
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NPI Number | 1699958298
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Entity Type | Organization
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Legal Business Name | AFSHIN SEAN JAVAHERIAN
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 8733 BEVERLY BLVD SUITE 101
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1827
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Country | US
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Telephone | 310-657-3701
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Fax |
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Provider Business Mailing Address
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Address Line | 8733 BEVERLY BLVD SUITE 101
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1827
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Country | US
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Telephone | 310-657-3701
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AFSHIN S JAVAHERIAN
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Credential | DPM
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Telephone | 310-657-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | E4676
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License Number State | CA
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