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General NPI Number Information
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NPI Number | 1467242123
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Entity Type | Individual
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Provider Name | SANAZ MOGHADDAMIMONAGHI
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1800 ORLEANS ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0010
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Country | US
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Telephone | 410-955-7911
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Fax | 410-955-0374
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Provider Business Mailing Address
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Address Line | 1 AMALFI
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City | ALISO VIEJO
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State | CA
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Zip | 92656-5239
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Country | US
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Telephone | 213-215-0931
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | -
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License Number State | MD
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