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General NPI Number Information
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NPI Number | 1578428397
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Entity Type | Organization
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Legal Business Name | THE MARZBAN EYE GROUP
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1749 OLD MEADOW RD STE 410
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City | MC LEAN
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State | VA
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Zip | 22102-4324
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Country | US
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Telephone | 703-371-7567
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Fax | 770-951-2157
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Provider Business Mailing Address
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Address Line | 1749 OLD MEADOW RD STE 410
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City | MC LEAN
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State | VA
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Zip | 22102-4324
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Country | US
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Telephone | 703-371-7567
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Fax | 770-951-2157
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Authorized Official
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Title or Position | MD/OWNER
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Name | MEHRAK MICHAEL MARZBAN
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Credential | MD
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Telephone | 703-371-7567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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