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General NPI Number Information
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NPI Number | 1952781932
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Entity Type | Organization
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Legal Business Name | ALI FOULADI, M.D., INC.
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 12665 GARDEN GROVE BLVD #502
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1901
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Country | US
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Telephone | 714-534-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 12665 GARDEN GROVE BLVD #502
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1901
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Country | US
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Telephone | 714-534-3900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALI FOULADI
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Credential | M.D.
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Telephone | 714-534-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A38712
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License Number State | CA
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