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General NPI Number Information
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NPI Number | 1235200155
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Entity Type | Individual
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Provider Name | ALIDAD ARABSHAHI MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 1450 EMERSON AVE APT 402
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City | MC LEAN
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State | VA
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Zip | 22101-5751
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Country | US
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Telephone | 703-988-7562
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Fax | 703-660-4803
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Provider Business Mailing Address
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Address Line | PO BOX 1504
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City | LORTON
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State | VA
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Zip | 22199-1504
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Country | US
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Telephone | 703-209-3208
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Fax | 703-619-5283
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101234863
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License Number State | VA
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