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General NPI Number Information
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NPI Number | 1912203308
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Entity Type | Organization
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Legal Business Name | BABAK FIROOZI MD INC
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE SUITE 266
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-662-0770
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Fax | 714-662-2122
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVE SUITE 266
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-662-0770
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Fax | 714-662-2122
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Authorized Official
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Title or Position | PRESIDENT
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Name | BABAK FIROOZI
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Credential | MD
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Telephone | 714-662-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | C54247
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License Number State | CA
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