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General NPI Number Information
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NPI Number | 1043355928
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Entity Type | Individual
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Provider Name | BIJAN - HARIRIAN LIC AC.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 WALL ST
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City | BURLINGTON
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State | MA
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Zip | 01803-4758
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Country | US
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Telephone | 781-221-2783
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 332
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City | SUDBURY
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State | MA
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Zip | 01776-0332
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Country | US
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Telephone | 617-283-7835
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Fax | 978-897-1111
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 594
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License Number State | MA
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