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General NPI Number Information
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NPI Number | 1730409004
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Entity Type | Individual
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Provider Name | HORMOZ ATASHPOUR SABER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 1214 INVERNESS DR
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City | DUNEDIN
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State | FL
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Zip | 34698-2703
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Country | US
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Telephone | 727-474-5731
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Fax | 727-474-5731
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Provider Business Mailing Address
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Address Line | 1214 INVERNESS DR
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City | DUNEDIN
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State | FL
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Zip | 34698-2703
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Country | US
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Telephone | 727-474-5731
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Fax | 727-474-5731
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0003186
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License Number State | FL
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