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General NPI Number Information
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NPI Number | 1104235456
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Entity Type | Organization
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Legal Business Name | A. SHAMS PIRZADEH, M.D., PA
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 716 MAIDEN CHOICE LN SUITE 301
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City | BALTIMORE
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State | MD
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Zip | 21228-5938
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Country | US
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Telephone | 410-788-2000
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Fax | 410-455-9881
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Provider Business Mailing Address
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Address Line | 716 MAIDEN CHOICE LN SUITE 301
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City | BALTIMORE
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State | MD
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Zip | 21228-5938
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Country | US
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Telephone | 410-788-2000
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Fax | 410-455-9881
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. RAJIV SUNAR
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Credential |
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Telephone | 410-788-2000
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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 | D0014798
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License Number State | MD
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