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General NPI Number Information
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NPI Number | 1750638235
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Entity Type | Organization
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Legal Business Name | ZADEH CARDIOLOGY
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 10433 WILSHIRE BLVD UNIT 503
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City | LOS ANGELES
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State | CA
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Zip | 90024-4637
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Country | US
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Telephone | 818-726-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 222 N GLENROY AVE
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City | LOS ANGELES
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State | CA
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Zip | 90049-2418
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Country | US
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Telephone | 818-726-0727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW ZADEH
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Credential | M.D.
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Telephone | 818-726-0727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A97720
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97720
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A97720
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License Number State | CA
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