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General NPI Number Information
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NPI Number | 1063457059
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Entity Type | Individual
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Provider Name | AMIR BEHZAD RAZAVI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1000 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2906
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Country | US
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Telephone | 707-251-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S 8TH ST P. O. DRAWER V
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City | GRIFFIN
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State | GA
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Zip | 30224-4213
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Country | US
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Telephone | 770-467-6104
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Fax | 678-583-0261
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME113682
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51539
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 51539
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C55482
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License Number State | CA
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