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General NPI Number Information
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NPI Number | 1710294665
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Entity Type | Organization
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Legal Business Name | FOROUGH PARSA MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2925 SYCAMORE DR SUITE 300
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1207
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Country | US
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Telephone | 805-522-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 SYCAMORE DR SUITE 300
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1207
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Country | US
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Telephone | 805-522-1818
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FOROUGH PARSA
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Credential | MD
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Telephone | 805-522-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A29656
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License Number State | CA
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