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General NPI Number Information
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NPI Number | 1164538583
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Entity Type | Individual
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Provider Name | MAHPAREH G MOSTOUFIZADEH MD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 565 COAL VALLEY RD
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City | CLAIRTON
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State | PA
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Zip | 15025-3703
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Country | US
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Telephone | 412-469-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 800 VINIAL ST SUITE B407A
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City | PITTSBURGH
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State | PA
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Zip | 15212-5151
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Country | US
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Telephone | 412-323-4402
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Fax | 412-323-4418
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD038191E
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License Number State | PA
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