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General NPI Number Information
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NPI Number | 1699876235
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Entity Type | Individual
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Provider Name | NAHID MAZAREI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 950 E SWAN CREEK RD
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City | FT WASHINGTON
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State | MD
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Zip | 20744-5250
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Country | US
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Telephone | 301-203-3345
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Fax | 301-203-2186
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Provider Business Mailing Address
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Address Line | 10403 HOSPITAL DR SUITE G4
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City | CLINTON
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State | MD
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Zip | 20735-3134
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Country | US
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Telephone | 301-856-3019
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Fax | 301-856-9370
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0060499
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License Number State | MD
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