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General NPI Number Information
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NPI Number | 1447291851
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Entity Type | Individual
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Provider Name | KAYKHOSROW HOOSHMAND-PARSI MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 41 MONTEBELLO RD STE 116
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City | PUEBLO
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State | CO
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Zip | 81001
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Country | US
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Telephone | 719-545-2746
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Fax | 719-542-9638
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Provider Business Mailing Address
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Address Line | 41 MONTEBELLO RD STE 204
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City | PUEBLO
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State | CO
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Zip | 81001-1379
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Country | US
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Telephone | 719-545-2746
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Fax | 719-545-4100
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 42329
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42329
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License Number State | CO
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