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General NPI Number Information
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NPI Number | 1558690594
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Entity Type | Organization
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Legal Business Name | PARVIZ B. MEHRI, M.D., F.A.C.S., P.C.
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 2 GLEN HILL RD
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City | DANBURY
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State | CT
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Zip | 06811-4906
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Country | US
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Telephone | 203-748-2020
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Fax | 203-744-4333
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Provider Business Mailing Address
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Address Line | 2 GLEN HILL RD
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City | DANBURY
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State | CT
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Zip | 06811-4906
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Country | US
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Telephone | 203-748-2020
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Fax | 203-744-4333
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PARVIZ B MEHRI
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Credential | M.D.
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Telephone | 203-748-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 011332
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License Number State | CT
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