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General NPI Number Information
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NPI Number | 1710113378
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Entity Type | Individual
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Provider Name | MAHSA TEHRANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 8130 BOONE BLVD SUITE 340
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City | VIENNA
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State | VA
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Zip | 22182-2666
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Country | US
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Telephone | 202-492-1044
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Fax | 703-734-2223
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Provider Business Mailing Address
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Address Line | 8130 BOONE BLVD SUITE 340
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City | VIENNA
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State | VA
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Zip | 22182-2666
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Country | US
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Telephone | 202-492-1044
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Fax | 703-734-2223
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101256183
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License Number State | VA
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