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General NPI Number Information
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NPI Number | 1962601047
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Entity Type | Individual
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Provider Name | MOHAMMADBAGHER ZIARI MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 1280 CORONA POINTE CT STE 112
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City | CORONA
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State | CA
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Zip | 92879-1770
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Country | US
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Telephone | 951-898-2828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 512185
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City | LOS ANGELES
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State | CA
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Zip | 90051-0185
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Country | US
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Telephone | 626-775-3514
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Fax | 626-218-5310
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 48712
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A118844
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License Number State | CA
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