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General NPI Number Information
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NPI Number | 1770198665
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Entity Type | Organization
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Legal Business Name | NA MEDICAL, PLLC
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 4310 JAMES CASEY ST STE A
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City | AUSTIN
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State | TX
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Zip | 78745-1251
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Country | US
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Telephone | 512-504-7411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27876
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City | BELFAST
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State | ME
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Zip | 04915-2030
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Country | US
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Telephone | 512-504-7411
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Fax | 512-215-8824
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. NIMA AMJADI
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Credential | MD
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Telephone | 512-504-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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