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General NPI Number Information
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NPI Number | 1316431430
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Entity Type | Individual
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Provider Name | ARRAM NOSHIRVAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1100 CENTRAL AVE SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4934
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Country | US
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Telephone | 505-923-5941
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Fax | 505-923-8586
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Provider Business Mailing Address
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Address Line | 724 SOLANO DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7739
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Country | US
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Telephone | 714-272-7252
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Fax | 505-923-8586
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2023-0295
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License Number State | NM
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