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General NPI Number Information
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NPI Number | 1528226529
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Entity Type | Organization
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Legal Business Name | JOINT AND MUSCLE MEDICAL CARE
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 8840 BLAKENEY PROFESSIONAL DRIVE SUITE 101
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City | CHARLOTTE
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State | NC
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Zip | 28277-6594
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Country | US
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Telephone | 704-541-2111
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Fax | 704-541-2282
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Provider Business Mailing Address
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Address Line | 8840 BLAKENEY PROFESSIONAL DRIVE SUITE 101
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City | CHARLOTTE
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State | NC
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Zip | 28277-6594
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Country | US
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Telephone | 704-541-2111
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Fax | 704-541-2282
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALIREZA NAMI
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Credential | MD
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Telephone | 704-541-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 200400560
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License Number State | NC
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