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General NPI Number Information
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NPI Number | 1447456033
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Entity Type | Individual
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Provider Name | PEJMAN BABAKHANLOU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 300 W WALLACE ST STE B2
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City | FINDLAY
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State | OH
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Zip | 45840-1244
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Country | US
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Telephone | 419-422-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W WALLACE ST STE B2
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City | FINDLAY
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State | OH
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Zip | 45840-1244
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Country | US
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Telephone | 419-422-3812
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57.010429
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A 113674
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.149864
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License Number State | OH
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