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General NPI Number Information
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NPI Number | 1174286983
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Entity Type | Organization
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Legal Business Name | NAZLI EMADI LLC
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 1501 SULGRAVE AVE STE 202
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City | BALTIMORE
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State | MD
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Zip | 21209-3650
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Country | US
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Telephone | 410-881-2106
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Fax | 949-437-8503
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Provider Business Mailing Address
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Address Line | PO BOX 5574
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City | LUTHERVILLE
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State | MD
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Zip | 21094-5574
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Country | US
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Telephone | 410-881-2106
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Fax | 949-437-8503
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | NAZLI EMADI
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Credential | MD
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Telephone | 410-881-2106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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