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General NPI Number Information
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NPI Number | 1639001621
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Entity Type | Organization
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Legal Business Name | MAHYAR TAHBAZ, DO
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 401 CORBETT ST STE 250
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City | BELLEAIR
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State | FL
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Zip | 33756-7310
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Country | US
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Telephone | 304-917-1357
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Fax |
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Provider Business Mailing Address
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Address Line | 601 AVERY ST STE 501
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City | PARKERSBURG
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State | WV
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Zip | 26101-5192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAHYAR TAHBAZ
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Credential | DO
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Telephone | 304-482-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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