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General NPI Number Information
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NPI Number | 1770899361
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Entity Type | Individual
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Provider Name | MR. MOSTAFA MAGHZIAN
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Gender | Male
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Dates
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Enumeration Date | 08/20/2010
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 2930 CHAIN BRIDGE RD SUITE 111
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City | OAKTON
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State | VA
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Zip | 22124
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Country | US
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Telephone | 703-319-7972
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Fax | 703-319-3903
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Provider Business Mailing Address
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Address Line | 2930 CHAIN BRIDGE RD SUITE 111
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City | OAKTON
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State | VA
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Zip | 22124-3041
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Country | US
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Telephone | 703-319-7972
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Fax | 703-319-3903
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1036982
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License Number State | VA
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