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General NPI Number Information
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NPI Number | 1821399205
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Entity Type | Organization
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Legal Business Name | ALI BEHNAM, M.D.,P.A.
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 925 BISHOP WALSH RD SUITE # 7
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City | CUMBERLAND
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State | MD
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Zip | 21502-1845
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Country | US
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Telephone | 301-759-3924
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Fax | 301-759-4632
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Provider Business Mailing Address
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Address Line | 925 BISHOP WALSH RD SUITE # 7
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City | CUMBERLAND
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State | MD
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Zip | 21502-1845
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Country | US
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Telephone | 301-759-3924
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Fax | 301-759-4632
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ALICIA ALTAMARINO BEHNAMD
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Credential |
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Telephone | 301-759-3924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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