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General NPI Number Information
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NPI Number | 1811909955
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Entity Type | Individual
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Provider Name | MARYAM AHMADIAN N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 99 N LA CIENEGA BLVD STE 202
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2285
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Country | US
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Telephone | 310-385-3300
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Fax | 310-385-3366
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Provider Business Mailing Address
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Address Line | 11620 WILSHIRE BLVD STE 102
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City | LOS ANGELES
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State | CA
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Zip | 90025-6801
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Country | US
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Telephone | 310-385-3300
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Fax | 310-423-3794
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | NP12577
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License Number State | CA
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