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General NPI Number Information
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NPI Number | 1912716580
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Entity Type | Organization
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Legal Business Name | COMMITMED PC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1404 HIGHLAND AVENUE
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City | DUARTE
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State | CA
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Zip | 91010
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Country | US
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Telephone | 310-500-9400
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Fax | 626-708-0360
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD STE 2160
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone | 310-500-9400
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Fax | 626-708-0360
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOUMAN BADRZADEH
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Credential | DO
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Telephone | 310-500-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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