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General NPI Number Information
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NPI Number | 1801831730
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Entity Type | Individual
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Provider Name | DARIUS SOLEIMANY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1551 BISHOP ST SUITE 450
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-4635
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Country | US
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Telephone | 805-439-1094
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Fax | 805-439-1094
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Provider Business Mailing Address
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Address Line | 241 TRAVIS DR
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City | LOS OSOS
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State | CA
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Zip | 93402-4315
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Country | US
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Telephone | 805-801-8685
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Fax | 805-439-1094
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | A35246
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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 | A35246
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A35246
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License Number State | CA
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