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General NPI Number Information
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NPI Number | 1508136276
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Entity Type | Individual
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Provider Name | AZADEH BEHESHTIAN MD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 15 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10016-4348
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Country | US
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Telephone | 347-558-4094
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Fax | 833-224-5817
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Provider Business Mailing Address
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Address Line | 15 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10016-4348
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Country | US
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Telephone | 347-558-4094
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Fax | 347-558-4094
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME133803
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License Number State | FL
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