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General NPI Number Information
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NPI Number | 1760451751
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Entity Type | Individual
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Provider Name | PARVANEH FIROZBAKHT PA
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 2100 SOLAR DR
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City | OXNARD
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State | CA
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Zip | 93036-2661
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Country | US
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Telephone | 805-988-9000
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Fax | 805-988-9089
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Provider Business Mailing Address
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Address Line | 3315 REDSTONE DR
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City | ARLINGTON
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State | TX
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Zip | 76001-6505
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Country | US
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Telephone | 817-966-6222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03421
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 57682
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License Number State | CA
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