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General NPI Number Information
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NPI Number | 1518953926
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Entity Type | Individual
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Provider Name | MAHDIEH HAJI AMOU ASSAR MD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 755 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2506
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Country | US
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Telephone | 602-271-5207
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Fax | 602-271-5466
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Provider Business Mailing Address
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Address Line | 3301 E CLAREMONT ST
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-3713
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Country | US
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Telephone | 602-954-0819
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Fax | 602-271-5466
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036140693
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32124
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License Number State | AZ
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