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NPI 1477578136

NPI 1477578136 : NASROLLAH JAHDI MD : STEUBENVILLE, OH

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General NPI Number Information
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    NPI Number           |    1477578136
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    Entity Type          |    Individual 
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    Provider Name        |    NASROLLAH JAHDI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    03/03/2021
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Provider Practice Location Address
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    Address Line         |    1805 SINCLAIR AVE 
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    City                 |    STEUBENVILLE
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    State                |    OH
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    Zip                  |    43953-3327
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    Country              |    US
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    Telephone            |    740-282-9093
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    Fax                  |    740-282-9087
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Provider Business Mailing Address
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    Address Line         |    380 SUMMIT AVE MSO PHYSICIAN BILLING
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    City                 |    STEUBENVILLE
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    State                |    OH
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    Zip                  |    43952-2667
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    Country              |    US
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    Telephone            |    740-283-7597
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    Fax                  |    740-283-7608
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    13211
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    MD028222E
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    35.064997
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    License Number State |    OH
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