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General NPI Number Information
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NPI Number | 1730884370
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Entity Type | Individual
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Provider Name | NEGHIN JAFARZADEH
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 5505 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45248-2311
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Country | US
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Telephone | 513-832-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 304 ROCK CRYSTAL LN
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City | LAKESIDE PARK
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State | KY
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Zip | 41017-3123
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50.008091RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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