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General NPI Number Information
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NPI Number | 1689565244
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Entity Type | Organization
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Legal Business Name | ANGELO SADEGHPOUR MD PHD, PLLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3081 SALZEDO ST STE 202AA
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City | CORAL GABLES
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State | FL
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Zip | 33134-6722
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Country | US
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Telephone | 305-900-4543
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Fax | 305-686-1752
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Provider Business Mailing Address
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Address Line | 3081 SALZEDO ST STE 202AA
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City | CORAL GABLES
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State | FL
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Zip | 33134-6722
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Country | US
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Telephone | 305-900-4543
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Fax | 305-686-1752
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Authorized Official
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Title or Position | MEMBER
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Name | ANGELO SADEGHPOUR
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Credential | MD PHD
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Telephone | 310-906-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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