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General NPI Number Information
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NPI Number | 1801484241
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Entity Type | Organization
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Legal Business Name | MASOUD AFSHAR MD INC
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 220 N IMPERIAL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-1265
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Country | US
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Telephone | 442-283-5049
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Fax | 760-344-7106
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Provider Business Mailing Address
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Address Line | 220 N IMPERIAL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-1265
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Country | US
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Telephone | 442-283-5049
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Fax | 760-344-7106
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Authorized Official
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Title or Position | PRESIDENT
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Name | MASOUD AFSHAR
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Credential | MD
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Telephone | 442-283-5049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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