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General NPI Number Information
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NPI Number | 1205727013
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Entity Type | Individual
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Provider Name | VAFA MOSTAGHIM
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Gender | Male
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 8183 CARNEGIE HALL CT APT 102
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City | VIENNA
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State | VA
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Zip | 22180-7357
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Country | US
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Telephone | 703-843-1038
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Fax |
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Provider Business Mailing Address
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Address Line | 8183 CARNEGIE HALL CT APT 102
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City | VIENNA
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State | VA
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Zip | 22180-7357
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Country | US
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Telephone | 703-679-8878
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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