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General NPI Number Information
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NPI Number | 1366948978
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Entity Type | Organization
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Legal Business Name | AZADEH BEHESHTIAN MD PLLC
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 15 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10016-4348
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Country | US
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Telephone | 347-695-4225
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Fax | 833-224-5817
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Provider Business Mailing Address
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Address Line | 15 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10016-4348
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Country | US
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Telephone | 347-695-4225
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Fax | 833-224-5817
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Authorized Official
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Title or Position | OWNER
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Name | AZADEH BEHESHTIAN
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Credential | MD
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Telephone | 415-999-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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