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General NPI Number Information
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NPI Number | 1184651648
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Entity Type | Individual
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Provider Name | PARANDEH AMINI ALASHTI P.A.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4300 ALTON RD #2070
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-695-0644
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Fax | 305-695-0662
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Provider Business Mailing Address
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Address Line | PO BOX 402808
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City | MIAMI BEACH
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State | FL
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Zip | 33140-0808
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Country | US
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Telephone | 305-695-0644
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Fax | 305-695-0622
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3209
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License Number State | FL
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