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General NPI Number Information
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NPI Number | 1023117736
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Entity Type | Organization
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Legal Business Name | BEHZAD AHKAMI M.D
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 930 CLIFTON AVE SUITE 201
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City | CLIFTON
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State | NJ
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Zip | 07013-2723
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Country | US
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Telephone | 973-471-5444
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Fax | 973-778-0848
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Provider Business Mailing Address
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Address Line | 930 CLIFTON AVE SUITE 201
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City | CLIFTON
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State | NJ
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Zip | 07013-2723
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Country | US
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Telephone | 973-471-5444
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Fax | 973-778-0848
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | BEHZAD AHKAMI
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Credential | M.D
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Telephone | 973-471-5444
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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 | 25MA04650600
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License Number State | NJ
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