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General NPI Number Information
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NPI Number | 1750709770
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Entity Type | Individual
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Provider Name | PAUL PEDRAM DARAEI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 3330 PRESTON RIDGE RD STE 380
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City | ALPHARETTA
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State | GA
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Zip | 30005-4596
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Country | US
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Telephone | 678-208-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 304 MEADOWBROOK DR
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City | ATLANTA
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State | GA
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Zip | 30342-3312
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Country | US
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Telephone | 949-232-3653
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 7169
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 37848
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 84724
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License Number State | GA
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