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General NPI Number Information
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NPI Number | 1922201508
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Entity Type | Individual
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Provider Name | SHAHRIAR PIROUZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 10 SANTA ROSA ST STE-101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-5825
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Country | US
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Telephone | 805-544-7426
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Fax | 805-782-8097
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Provider Business Mailing Address
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Address Line | 10 SANTA ROSA ST STE-101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-5825
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Country | US
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Telephone | 805-544-7246
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Fax | 805-782-8097
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A107955
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A107955
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A107955
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License Number State | CA
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