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General NPI Number Information
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NPI Number | 1245254630
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Entity Type | Organization
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Legal Business Name | FARHAD NASEH MD PA
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 6 MONTGOMERY VILLAGE AVE STE 103
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3530
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Country | US
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Telephone | 301-840-2208
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Fax | 301-840-2210
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Provider Business Mailing Address
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Address Line | 6 MONTGOMERY VILLAGE AVE STE 103
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3530
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Country | US
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Telephone | 301-840-2208
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Fax | 301-840-2210
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | MR. FARHAD NASEH
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Credential | MD
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Telephone | 301-840-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0050523
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License Number State | MD
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