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General NPI Number Information
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NPI Number | 1013844885
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Entity Type | Individual
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Provider Name | KIAN ABOLHODA
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Gender | Male
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 100 E LEHIGH AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1012
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Country | US
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Telephone | 800-836-7536
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Fax |
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Provider Business Mailing Address
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Address Line | 6272 SIERRA SIENA RD
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City | IRVINE
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State | CA
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Zip | 92603-3925
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Country | US
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Telephone | 949-468-8354
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MT236747
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License Number State | PA
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