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General NPI Number Information
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NPI Number | 1578755914
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Entity Type | Individual
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Provider Name | HELGA S. DAFTARIAN DO, MPH, MBA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 2601 W STROOP RD
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City | MORAINE
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State | OH
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Zip | 45439-1929
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Country | US
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Telephone | 937-455-2656
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Fax | 937-455-2569
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Provider Business Mailing Address
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Address Line | 2601 W STROOP RD
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City | MORAINE
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State | OH
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Zip | 45439-1929
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Country | US
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Telephone | 937-455-2656
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Fax | 937-455-2569
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 34007470
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License Number State | OH
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