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General NPI Number Information
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NPI Number | 1336704410
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Entity Type | Individual
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Provider Name | ELHAM GHAHARI
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Gender | Female
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Dates
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Enumeration Date | 05/05/2019
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 707 N ALVERNON WAY STE 301
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City | TUCSON
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State | AZ
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Zip | 85711-1848
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Country | US
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Telephone | 520-694-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 655 N ALVERNON WAY STE 204
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City | TUCSON
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State | AZ
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Zip | 85711-1825
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Country | US
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Telephone | 312-843-9158
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 55612
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 297355
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 73176
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License Number State | AZ
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