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General NPI Number Information
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NPI Number | 1730900986
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Entity Type | Organization
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Legal Business Name | GOLKAR MD CONSULTING LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 131 S CITRUS AVE STE 300
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City | INVERNESS
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State | FL
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Zip | 34452-4701
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Country | US
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Telephone | 352-341-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 W MUSTANG BLVD
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-4446
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Country | US
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Telephone | 352-400-5943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FARHAAD GOLKAR
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Credential | MD
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Telephone | 352-400-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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