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General NPI Number Information
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NPI Number | 1659902021
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Entity Type | Individual
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Provider Name | AMIR REZA KACHOOEI MD
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Gender | Male
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 7975 LAKE UNDERHILL RD STE 330
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City | ORLANDO
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State | FL
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Zip | 32822-8210
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Country | US
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Telephone | 844-407-4070
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Fax | 407-743-3050
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4430
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Country | US
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Telephone | 609-677-7003
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Fax | 267-339-3761
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | ME158799
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License Number State | FL
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