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General NPI Number Information
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NPI Number | 1659683902
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Entity Type | Individual
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Provider Name | VAHID RAHIMIAN DO
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 121 E 60TH ST SUITE 4C
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City | NEW YORK
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State | NY
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Zip | 10022-1117
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Country | US
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Telephone | 212-758-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 121 E 60TH ST SUITE 4C
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City | NEW YORK
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State | NY
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Zip | 10022-1117
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Country | US
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Telephone | 212-758-4633
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 25MB08722500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 264031
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License Number State | NY
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