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General NPI Number Information
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NPI Number | 1710393343
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Entity Type | Organization
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Legal Business Name | ASHKAN ALEX SHAMSIAN MD INC
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 5232 LINDLEY AVE
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City | ENCINO
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State | CA
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Zip | 91316-3518
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Country | US
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Telephone | 310-721-8752
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Fax |
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Provider Business Mailing Address
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Address Line | 5232 LINDLEY AVE
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City | ENCINO
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State | CA
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Zip | 91316-3518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. ASHKAN ALEX SHAMSIAN
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Credential | M.D.
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Telephone | 310-721-8752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A90745
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License Number State | CA
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