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General NPI Number Information
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NPI Number | 1780066373
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Entity Type | Organization
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Legal Business Name | DR KAMRAN PARSA INC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 1120 W AVENUE M4
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City | PALMDALE
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State | CA
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Zip | 93551-1432
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Country | US
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Telephone | 661-480-2377
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Fax | 661-480-2378
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Provider Business Mailing Address
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Address Line | 1120 W AVENUE M4
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City | PALMDALE
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State | CA
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Zip | 93551-1432
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Country | US
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Telephone | 661-480-2377
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Fax | 661-480-2378
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Authorized Official
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Title or Position | NEUROSURGEON/PRESIDENT
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Name | DR. KAMRAN PARSA
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Credential | DO
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Telephone | 661-480-2377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 20A11025
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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