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General NPI Number Information
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NPI Number | 1528339413
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Entity Type | Organization
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Legal Business Name | ALIREZA FARABI MD PC
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 701 SHADOW LN STE 320
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City | LAS VEGAS
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State | NV
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Zip | 89106-4133
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Country | US
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Telephone | 702-462-8282
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Fax | 702-903-4443
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Provider Business Mailing Address
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Address Line | 2285 SPRUCE GOOSE ST APT A304
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City | LAS VEGAS
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State | NV
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Zip | 89135-2631
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Country | US
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Telephone | 702-462-8282
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Fax | 702-903-4443
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALIREZA FARABI
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Credential | MD
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Telephone | 925-451-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 13143
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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