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General NPI Number Information
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NPI Number | 1437406238
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Entity Type | Organization
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Legal Business Name | ARBABZADEH MASSOUD PHYSICIAN, PC
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 2809 WEHRLE DR STE 13
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7385
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Country | US
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Telephone | 716-632-0006
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Fax | 716-247-6627
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Provider Business Mailing Address
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Address Line | 2809 WEHRLE DR STE 13
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7385
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Country | US
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Telephone | 716-632-0006
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Fax | 716-247-6627
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Authorized Official
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Title or Position | BILLING OFFICE MANAGER
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Name | MRS. VALERIE V ALLEN
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Credential |
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Telephone | 585-412-6147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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