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General NPI Number Information
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NPI Number | 1780785956
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Entity Type | Organization
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Legal Business Name | LADAN K. SAMADI, M.D. INC.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 27420 TOURNEY RD SUITE 220
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City | VALENCIA
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State | CA
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Zip | 91355-5601
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Country | US
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Telephone | 661-259-9979
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Fax | 661-259-1262
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Provider Business Mailing Address
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Address Line | PO BOX 55036
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City | VALENCIA
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State | CA
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Zip | 91385-0036
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Country | US
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Telephone | 661-259-9979
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Fax | 661-259-1262
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Authorized Official
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Title or Position | HEAD DOCTOR
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Name | DR. LADAN KHANDABI SAMADI
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Credential | M.D.
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Telephone | 661-259-9979
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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 | A61255
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License Number State | CA
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