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General NPI Number Information
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NPI Number | 1821296435
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Entity Type | Organization
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Legal Business Name | NASSER ESKENDRI, M.D. LLC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 394 COLLEGE AVE
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City | BEAVER
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State | PA
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Zip | 15009-2254
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Country | US
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Telephone | 724-774-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 394 COLLEGE AVE
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City | BEAVER
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State | PA
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Zip | 15009-2254
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Country | US
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Telephone | 724-774-2255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NASSER ESKENDRI
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Credential | M.D.
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Telephone | 724-774-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD03752L
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License Number State | PA
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