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General NPI Number Information
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NPI Number | 1679748669
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Entity Type | Individual
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Provider Name | BENJAMIN VAGHARI
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Gender | Male
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 301-295-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 ELMWOOD RD
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City | FULTON
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State | MD
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Zip | 20759-2636
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Country | US
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Telephone | 610-804-7197
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 229530
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD442529
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License Number State | PA
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