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General NPI Number Information
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NPI Number | 1326575408
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Entity Type | Individual
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Provider Name | MAEDEH MOHEBNASAB MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST DEPT OF
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 412-647-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 200 LANTHROP ST S-417 BST
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City | PITTSBURGH
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State | PA
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Zip | 15261-2818
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD202448
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License Number State | OR
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | MD477058
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License Number State | PA
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