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General NPI Number Information
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NPI Number | 1639844962
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Entity Type | Individual
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Provider Name | BEHDAD AFZALI KHOSHKBIJARI MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 10 CENTER DR
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 301-443-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 LOCUST RD NW
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City | WASHINGTON
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State | DC
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Zip | 20012-1213
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Country | US
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Telephone | 202-413-8701
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0048434
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License Number State | MD
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