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General NPI Number Information
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NPI Number | 1295050110
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Entity Type | Individual
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Provider Name | ALI TORAB PARHIZ M.D
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Gender | Male
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Dates
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Enumeration Date | 04/03/2010
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 901 N CURTIS RD STE 302
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City | BOISE
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State | ID
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Zip | 83706-1341
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Country | US
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Telephone | 812-424-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 535 W WATER GROVE DR
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City | EAGLE
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State | ID
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Zip | 83616-5747
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Country | US
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01077110A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | M-14161
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M-14161
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License Number State | ID
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