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General NPI Number Information
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NPI Number | 1457441685
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Entity Type | Organization
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Legal Business Name | DJAVAD T ARANI MD PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1150 YOUNGS RD SUITE 101
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8053
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Country | US
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Telephone | 716-636-0189
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Fax | 716-636-0261
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Provider Business Mailing Address
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Address Line | 1150 YOUNGS RD SUITE 101
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8053
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Country | US
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Telephone | 716-636-0189
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Fax | 716-636-0261
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DJAVAD T ARANI
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Credential | M.D.
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Telephone | 716-636-0189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 111123
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License Number State | NY
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