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General NPI Number Information
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NPI Number | 1841368461
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Entity Type | Individual
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Provider Name | FRAIDON FREY AZIZI MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2220 LYNN RD STE 103
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-8016
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Country | US
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Telephone | 805-373-1182
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Fax | 805-373-1184
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Provider Business Mailing Address
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Address Line | 4718 CLUB VIEW DR
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4350
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Country | US
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Telephone | 805-496-6877
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G82340
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License Number State | CA
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