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General NPI Number Information
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NPI Number | 1265177646
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Entity Type | Individual
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Provider Name | REZA ALAGHEHBANDAN MD, MSC, FRCPC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2022
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Last Update Date | 05/01/2022
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Provider Practice Location Address
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Address Line | 330 E COLUMBIA ST
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City | NEW WESTMINSTER
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State | BRITISH COLUMBIA
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Zip | V3E0G9
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Country | CA
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Telephone | 604-520-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 52-1295 SOBALL ST
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City | COQUITLAM
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State | CA
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Zip | V3E0G9
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Country | CA
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Telephone |
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 35.144518
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License Number State | OH
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