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General NPI Number Information
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NPI Number | 1952465973
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Entity Type | Organization
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Legal Business Name | BANAFSHEH BAYATI, M.D. INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1450 10TH ST STE 305
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City | SANTA MONICA
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State | CA
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Zip | 90401-2831
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Country | US
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Telephone | 424-348-3800
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Fax | 310-393-0353
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Provider Business Mailing Address
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Address Line | 1450 10TH ST STE 305
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City | SANTA MONICA
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State | CA
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Zip | 90401-2831
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Country | US
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Telephone | 424-348-3800
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Fax | 310-453-2563
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BANAFSHEH BAYATI
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Credential | M.D.
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Telephone | 424-348-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A68269
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License Number State | CA
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