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General NPI Number Information
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NPI Number | 1376736553
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Entity Type | Individual
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Provider Name | ELNAZ NASSEHZADEH TABRIZI
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Gender | Female
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD STE 600
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City | CHARLOTTE
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State | NC
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Zip | 28207-1198
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Country | US
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Telephone | 704-342-0252
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Fax | 980-533-7801
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Provider Business Mailing Address
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Address Line | 801 E MOREHEAD ST STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28202-3195
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Country | US
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Telephone | 704-342-0252
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Fax | 980-533-7801
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2011-01299
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License Number State | NC
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