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General NPI Number Information
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NPI Number | 1518048230
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Entity Type | Individual
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Provider Name | CYRUS HOSSIN ASADI D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 9 BROOK HILL CT
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City | COCKEYSVILLE
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State | MD
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Zip | 21030
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Country | US
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Telephone | 410-252-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 519 HILLTOP DR
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City | LUTHERVILLE TIMONIUM
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State | MD
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Zip | 21093-4913
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Country | US
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Telephone | 410-561-0050
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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 | H0054424
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License Number State | MD
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