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General NPI Number Information
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NPI Number | 1932337573
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Entity Type | Organization
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Legal Business Name | AIDMED INC
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 6200 CANOGA AVE SUITE 405
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2450
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Country | US
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Telephone | 818-433-2501
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Fax | 818-936-0187
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Provider Business Mailing Address
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Address Line | 22425 VENTURA BLVD # 153
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1524
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Country | US
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Telephone | 818-433-2501
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Fax | 818-936-0187
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Authorized Official
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Title or Position | PRESIDENT
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Name | SASSAN NADERI
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Credential | M.D.
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Telephone | 818-433-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A84332
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License Number State | CA
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