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General NPI Number Information
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NPI Number | 1437683968
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Entity Type | Individual
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Provider Name | AZMI RAMIN JAHAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1500 W ASHLAND ST
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City | NEVADA
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State | MO
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Zip | 64772-1710
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Country | US
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Telephone | 417-448-5623
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 W ASHLAND ST
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City | NEVADA
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State | MO
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Zip | 64772-1710
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Country | US
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Telephone | 816-514-1215
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME147650
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 87178
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License Number State | GA
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