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General NPI Number Information
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NPI Number | 1770664377
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Entity Type | Individual
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Provider Name | HORYEH SHAHLA DARRODI O.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 144 E YALE LOOP
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City | IRVINE
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State | CA
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Zip | 92604-3708
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Country | US
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Telephone | 949-378-0348
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Fax | 949-829-0221
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Provider Business Mailing Address
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Address Line | 23412 MOULTON PKWY SUITE 120
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1732
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Country | US
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Telephone | 949-829-6927
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Fax | 949-829-0221
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 7708
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License Number State | CA
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