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General NPI Number Information
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NPI Number | 1659382679
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Entity Type | Individual
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Provider Name | ARASH FARAHVAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 600 BIRD BAY DR W
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City | VENICE
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State | FL
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Zip | 34285-8020
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Country | US
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Telephone | 941-625-0600
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Fax | 941-624-0941
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Provider Business Mailing Address
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Address Line | 600 BIRD BAY DR W
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City | VENICE
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State | FL
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Zip | 34285-8020
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Country | US
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Telephone | 941-625-0600
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Fax | 941-624-0941
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME129861
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License Number State | FL
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