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General NPI Number Information
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NPI Number | 1699296616
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Entity Type | Individual
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Provider Name | NIMA SHARIFAI MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-8667
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Fax |
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Provider Business Mailing Address
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Address Line | 250 W PRATT ST STE 900
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City | BALTIMORE
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State | MD
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Zip | 21201-6808
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Country | US
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Telephone | 667-214-2507
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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 | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 2017021115
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 2017021115
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | D0093564
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License Number State | MD
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