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General NPI Number Information
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NPI Number | 1992080618
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Entity Type | Individual
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Provider Name | SHAHBAZ A. FARNAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 5757 WILSHIRE BLVD STE PR2
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City | LOS ANGELES
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State | CA
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Zip | 90036-3689
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Country | US
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Telephone | 323-433-7744
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Fax | 323-433-7716
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Provider Business Mailing Address
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Address Line | 5757 WILSHIRE BLVD STE PR2
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City | LOS ANGELES
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State | CA
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Zip | 90036-3689
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Country | US
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Telephone | 323-433-7744
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Fax | 323-433-7716
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 274946
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A1496336
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125059273
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License Number State | IL
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