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General NPI Number Information
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NPI Number | 1801751755
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Entity Type | Individual
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Provider Name | MARIAM NASIRY
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Gender | Female
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3889 CEPHAS CHILD RD UNIT 5
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City | DOYLESTOWN
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State | PA
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Zip | 18902-9065
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Country | US
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Telephone | 610-817-1116
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Fax | 484-813-6530
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Provider Business Mailing Address
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Address Line | 3889 CEPHAS CHILD RD UNIT 5
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City | DOYLESTOWN
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State | PA
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Zip | 18902-9065
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Country | US
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Telephone | 610-817-1116
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Fax | 484-813-6530
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE013882
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License Number State | PA
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