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General NPI Number Information
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NPI Number | 1164046553
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Entity Type | Individual
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Provider Name | MONA GHAVAMI MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1355 N SCOTTSDALE RD STE 170
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3590
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Country | US
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Telephone | 2-333-2648
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Fax |
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Provider Business Mailing Address
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Address Line | 9421 E RIMROCK DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-9115
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 70074
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License Number State | AZ
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