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General NPI Number Information
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NPI Number | 1831112259
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Entity Type | Individual
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Provider Name | ROYA KOHANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 7300 GIRARD AVE STE 101
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City | LA JOLLA
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State | CA
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Zip | 92037-5138
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Country | US
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Telephone | 858-459-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 COUNTRY CLUB DR
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City | LA JOLLA
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State | CA
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Zip | 92037-5609
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Country | US
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Telephone | 858-869-4455
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A64593
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License Number State | CA
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