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General NPI Number Information
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NPI Number | 1962806554
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Entity Type | Organization
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Legal Business Name | HOUSHMAND NAIM, MD, INC.
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 10/10/2014
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Provider Practice Location Address
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Address Line | 301 N AVALON BLVD 2ND FLOOR
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City | WILMINGTON
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State | CA
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Zip | 90744-5801
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Country | US
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Telephone | 310-684-4070
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Fax | 310-684-4077
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Provider Business Mailing Address
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Address Line | 301 N AVALON BLVD 2ND FLOOR
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City | WILMINGTON
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State | CA
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Zip | 90744-5801
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Country | US
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Telephone | 310-684-4070
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Fax | 310-684-4077
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOUSHMAND J NAIM
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Credential | M.D.
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Telephone | 310-684-4070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A81554
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License Number State | CA
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