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General NPI Number Information
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NPI Number | 1295773679
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Entity Type | Individual
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Provider Name | HAMID TAHERI MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 8100 ASHTON AVE SUITE 200
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City | MANASSAS
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State | VA
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Zip | 20109-5622
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Country | US
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Telephone | 703-335-8750
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Fax | 703-331-0254
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Provider Business Mailing Address
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Address Line | 8100 ASHTON AVE SUITE 200
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City | MANASSAS
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State | VA
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Zip | 20109-5622
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Country | US
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Telephone | 703-331-0300
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Fax | 703-331-0254
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 101052820
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License Number State | VA
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