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General NPI Number Information
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NPI Number | 1235293499
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Entity Type | Individual
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Provider Name | MATHEW BAHRAMI OD
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 801 BUSH AVE
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City | ARTESIA
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State | NM
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Zip | 88210
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Country | US
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Telephone | 575-736-2117
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 10TH ST MBAHRAMI19@GMAIL.COM
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City | ALAMOGORDO
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State | NM
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Zip | 88310
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Country | US
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Telephone | 575-434-1200
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Fax | 575-437-3947
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD1816
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-2025-0013
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License Number State | NM
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