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General NPI Number Information
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NPI Number | 1821381856
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Entity Type | Organization
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Legal Business Name | SEYED S KAMALI MD INC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 1640 NEWPORT BLVD #260
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City | COSTA MESA
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State | CA
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Zip | 92627-3786
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Country | US
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Telephone | 949-629-1400
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Fax | 949-209-0413
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Provider Business Mailing Address
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Address Line | 210 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3807
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Country | US
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Telephone | 800-883-7243
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Fax | 714-647-1245
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEYED S KAMALI
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Credential | MD
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Telephone | 714-347-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A77562
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License Number State | CA
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