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General NPI Number Information
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NPI Number | 1790836997
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Entity Type | Individual
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Provider Name | SOROUSH AGHIGH MD
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 260 CRANDON BLVD STE 8
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1537
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Country | US
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Telephone | 305-366-1114
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Fax | 305-365-1119
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Provider Business Mailing Address
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Address Line | 260 CRANDON BLVD STE 32-187
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-1536
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Country | US
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Telephone | 305-366-1114
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Fax | 305-365-1119
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME97298
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME97298
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License Number State | FL
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