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General NPI Number Information
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NPI Number | 1134120983
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Entity Type | Individual
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Provider Name | ARASH GOHARI MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 1900 HEMPSTEAD TPKE 500
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City | EAST MEADOW
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State | NY
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Zip | 11554-1724
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Country | US
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Telephone | 516-542-1090
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Fax | 516-794-8165
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Provider Business Mailing Address
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Address Line | 2722 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11210-4613
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Country | US
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Telephone | 718-501-5389
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 219737
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 219737
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License Number State | NY
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