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General NPI Number Information
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NPI Number | 1922057173
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Entity Type | Individual
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Provider Name | BOBBY POURZIAEE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 415 N CRESCENT DR STE 340
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4884
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Country | US
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Telephone | 310-441-0088
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Fax | 310-388-5809
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Provider Business Mailing Address
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Address Line | 6230 WILSHIRE BLVD STE 145
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City | LOS ANGELES
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State | CA
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Zip | 90048-5126
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Country | US
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Telephone | 310-770-1492
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0405
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4339
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License Number State | CA
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