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General NPI Number Information
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NPI Number | 1922340140
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Entity Type | Individual
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Provider Name | SANAM SHARAF P.A.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 15910 VENTURA BLVD STE 1510
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City | ENCINO
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State | CA
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Zip | 91436-2827
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Country | US
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Telephone | 310-278-9171
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Fax |
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Provider Business Mailing Address
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Address Line | 10573 W PICO BLVD # 450
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City | LOS ANGELES
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State | CA
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Zip | 90064-2333
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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 |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA22756
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License Number State | CA
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