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General NPI Number Information
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NPI Number | 1609146455
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Entity Type | Organization
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Legal Business Name | OPTIMAL MEDICAL CARE INC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 11119 ROCKVILLE PIKE STE 316
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City | ROCKVILLE
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State | MD
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Zip | 20852-3143
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Country | US
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Telephone | 301-230-8989
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Fax | 301-979-7007
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Provider Business Mailing Address
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Address Line | 11119 ROCKVILLE PIKE STE 316
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City | ROCKVILLE
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State | MD
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Zip | 20852-3143
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Country | US
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Telephone | 310-230-8989
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Fax | 301-979-7007
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. HOOMAN AZMI
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Credential | M.D.
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Telephone | 240-481-2369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0071076
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License Number State | MD
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