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General NPI Number Information
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NPI Number | 1851669592
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Entity Type | Organization
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Legal Business Name | NEHZAT NIKAKHTAR MD INC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 24462 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-6507
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Country | US
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Telephone | 310-373-6169
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Fax | 310-373-6169
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Provider Business Mailing Address
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Address Line | 24462 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-6507
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Country | US
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Telephone | 310-373-6169
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Fax | 310-373-6169
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ANNA GURYANOVA
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Credential |
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Telephone | 310-293-8541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | A36773
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License Number State | CA
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