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General NPI Number Information
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NPI Number | 1730477829
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Entity Type | Organization
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Legal Business Name | RAMIN POOYAN DO INC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 1180 N INDIAN CANYON DR SUITE 201
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-323-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 N INDIAN CANYON DR SUITE 201
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4800
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Country | US
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Telephone | 760-323-6511
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMIN POOYAN
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Credential | DO
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Telephone | 760-323-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 20A11219
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License Number State | CA
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