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General NPI Number Information
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NPI Number | 1366450777
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Entity Type | Organization
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Legal Business Name | MM IRANI MD PC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2030 LEHIGH ST # 116
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City | EASTON
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State | PA
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Zip | 18042
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Country | US
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Telephone | 610-250-0437
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Fax | 610-250-0437
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Provider Business Mailing Address
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Address Line | 2030 LEHIGH ST # 116
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City | EASTON
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State | PA
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Zip | 18042
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Country | US
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Telephone | 610-250-0437
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Fax | 610-250-5812
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MAHAKHURSHID IRANI
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Credential | MD
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Telephone | 610-250-0437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD038871L
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License Number State | PA
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