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General NPI Number Information
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NPI Number | 1184313074
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Entity Type | Individual
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Provider Name | MEHRDAD BAHRAMIAN PT
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Gender | Male
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 24560 SOUTHPOINT DR STE 250
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City | ALDIE
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State | VA
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Zip | 20105-3504
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Country | US
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Telephone | 571-370-3686
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Fax | 571-370-3687
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Provider Business Mailing Address
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Address Line | 5095 SAVANNAH RUN
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City | CUMMING
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State | GA
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Zip | 30040-0281
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Country | US
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Telephone | 470-628-3419
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP029380T
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29413
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License Number State | MD
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