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General NPI Number Information
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NPI Number | 1407179278
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Entity Type | Organization
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Legal Business Name | NASROLLAH JAHDI MD INC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 1 ROSS PARK BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-282-9093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | SEWICKLEY
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State | PA
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Zip | 15143-0369
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Country | US
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Telephone | 724-266-7900
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Fax | 724-266-4616
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Authorized Official
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Title or Position | OWNER
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Name | DR. NASROLLAH JAHDI
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Credential | MD
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Telephone | 724-266-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD028222E
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License Number State | PA
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