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General NPI Number Information
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NPI Number | 1508487216
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Entity Type | Individual
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Provider Name | ARYAN MATTHEW PASHAEI-MARANDI MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 4502 MEDICAL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4402
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Country | US
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Telephone | 210-358-4000
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Fax | 210-358-4775
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Provider Business Mailing Address
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Address Line | PO BOX 690193
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City | SAN ANTONIO
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State | TX
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Zip | 78269-0193
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Country | US
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Telephone | 832-380-4086
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | U8112
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License Number State | TX
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