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General NPI Number Information
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NPI Number | 1891516266
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Entity Type | Organization
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Legal Business Name | PRIME DERMATOLOGY AND SKIN CANCER INSTITUTE
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 30131 TOWN CENTER DR STE 280
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2086
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Country | US
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Telephone | 949-436-9737
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Fax |
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Provider Business Mailing Address
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Address Line | 30131 TOWN CENTER DR STE 280
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2086
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. MINA ZAREI
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Credential | MD
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Telephone | 786-369-9146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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