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General NPI Number Information
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NPI Number | 1073335261
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Entity Type | Organization
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Legal Business Name | PARVANEH MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 12863 SW 42ND ST STE A
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City | MIAMI
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State | FL
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Zip | 33175-3434
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Country | US
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Telephone | 786-962-1258
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Fax | 305-675-0736
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Provider Business Mailing Address
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Address Line | 28568 SW 134TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33033-7540
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Country | US
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Telephone | 786-962-1258
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Fax | 305-675-0736
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Authorized Official
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Title or Position | OWNER
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Name | INES RODRIGUEZ
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Credential | APRN
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Telephone | 786-962-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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