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General NPI Number Information
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NPI Number | 1801215322
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Entity Type | Individual
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Provider Name | FARZANEH GHOBADI-GHADIKOLAI MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2014
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 41 RIVER TERRACE APT 3502
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City | NEW YORK
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State | NY
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Zip | 10282-1126
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Country | US
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Telephone | 917-402-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 41 RIVER TER APT 3306
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City | NEW YORK
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State | NY
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Zip | 10282-1126
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Country | US
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Telephone | 917-402-1599
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3125
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 286473
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License Number State | NY
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