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General NPI Number Information
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NPI Number | 1508983057
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Entity Type | Individual
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Provider Name | ASHKAN BAHIN-AEIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 860 W. HOSPITAL DR./PO BOX 860
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City | WHITERIVER
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State | AZ
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Zip | 85941
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Country | US
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Telephone | 928-338-4911
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Fax | 928-352-3503
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Provider Business Mailing Address
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Address Line | PO BOX 950
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City | WHITERIVER
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State | AZ
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Zip | 85941-0950
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Country | US
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Telephone | 775-223-5935
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51941
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License Number State | AZ
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