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General NPI Number Information
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NPI Number | 1487891792
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Entity Type | Organization
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Legal Business Name | TOTAL GASTROENTEROLOGY PA
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 7441 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1049
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Country | US
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Telephone | 973-715-7915
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Fax |
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Provider Business Mailing Address
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Address Line | 7441 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870-1030
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Country | US
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Telephone | 973-715-7915
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BAHRAM AHMADI
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Credential | MD
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Telephone | 973-715-7915
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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 | ME89989
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License Number State | FL
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