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General NPI Number Information
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NPI Number | 1477636389
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Entity Type | Individual
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Provider Name | FARZIN SEHATI D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 6902 AUSTIN ST FL 3
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City | FOREST HILLS
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State | NY
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Zip | 11375-4233
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Country | US
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Telephone | 718-263-1450
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Fax | 718-263-1454
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Provider Business Mailing Address
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Address Line | PO BOX 234809
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City | GREAT NECK
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State | NY
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Zip | 11023-4809
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Country | US
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Telephone | 718-736-1450
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Fax | 718-736-1493
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 204917
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License Number State | NY
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