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General NPI Number Information
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NPI Number | 1700045267
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Entity Type | Organization
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Legal Business Name | E P MOSHEDI MD PA
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 9841 GREENBELT RD SUITE 102
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City | LANHAM
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State | MD
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Zip | 20706-6269
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Country | US
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Telephone | 301-552-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 630539
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City | BALTIMORE
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State | MD
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Zip | 21263-0539
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Country | US
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Telephone | 301-552-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMIL PAYMAN MOSHEDI
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Credential |
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Telephone | 301-552-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0042747
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License Number State | MD
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