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General NPI Number Information
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NPI Number | 1346774643
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Entity Type | Individual
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Provider Name | DR. KEYVAN KARIMIGALOUGAHI
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Gender | Male
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-2708
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Fax | 212-342-3660
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Provider Business Mailing Address
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Address Line | E305/599 PACIFIC HIGHWAY ST LEONARDS
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City | SYDNEY
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State | NSW
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Zip | 2065
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Country | AU
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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 | 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 | NY
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