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General NPI Number Information
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NPI Number | 1952600389
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Entity Type | Individual
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Provider Name | ARMIN FARAJZADEH DEROEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 5127 W NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-8354
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Country | US
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Telephone | 559-713-6515
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Fax | 559-713-6516
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Provider Business Mailing Address
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Address Line | 5127 W NOBLE AVE
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City | VISALIA
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State | CA
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Zip | 93277-8354
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Country | US
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Telephone | 559-713-6515
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Fax | 559-713-6516
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.018750
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A140831
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License Number State | CA
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