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General NPI Number Information
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NPI Number | 1982934840
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Entity Type | Organization
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Legal Business Name | N NAZARIAN MD A MED CORP
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1340 CARLA LINE
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-275-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 CARLA LINE
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-2509
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Country | US
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Telephone | 310-274-3099
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Fax | 310-275-8602
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAHID NAZARIAN
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Credential | MD
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Telephone | 310-274-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | A34340
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License Number State | CA
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