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General NPI Number Information
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NPI Number | 1134102775
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Entity Type | Individual
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Provider Name | CYRUS HAMIDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 12221 TULLAMORE RD
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-7816
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Country | US
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Telephone | 410-308-7840
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Fax | 410-308-7841
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Provider Business Mailing Address
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Address Line | 12221 TULLAMORE RD
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-7816
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Country | US
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Telephone | 410-308-7840
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Fax | 410-308-7841
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | CN4738
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License Number State | MD
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