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General NPI Number Information
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NPI Number | 1023864360
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Entity Type | Individual
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Provider Name | ZEINAB MOJDEKANLOU MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 917 21ST ST APT A
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City | SANTA MONICA
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State | CA
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Zip | 90403-3446
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Country | US
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Telephone | 424-467-9938
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 39466
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License Number State | FL
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