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General NPI Number Information
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NPI Number | 1780886762
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Entity Type | Organization
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Legal Business Name | BEHZAD H NOORIAN MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/03/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 23000 CRENSHAW BLVD SUITE 203
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City | TORRANCE
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State | CA
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Zip | 90505-3052
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Country | US
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Telephone | 310-325-4445
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Fax | 310-325-4409
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Provider Business Mailing Address
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Address Line | 23000 CRENSHAW BLVD SUITE 203
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City | TORRANCE
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State | CA
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Zip | 90505-3052
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Country | US
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Telephone | 310-325-4445
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Fax | 310-325-4409
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Authorized Official
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Title or Position | OWNER
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Name | DR. BEHZAD HAMEDANI NOORIAN
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Credential | M.D.
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Telephone | 310-325-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A38774
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License Number State | CA
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