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General NPI Number Information
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NPI Number | 1831816016
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Entity Type | Individual
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Provider Name | SOHEIL SABZEVARI
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Gender | Male
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 411 E VAUGHN AVE STE 104
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City | RUSTON
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State | LA
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Zip | 71270-5975
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Country | US
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Telephone | 318-254-2453
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Fax |
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Provider Business Mailing Address
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Address Line | 411 E VAUGHN AVE STE 104
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City | RUSTON
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State | LA
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Zip | 71270-5975
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Country | US
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Telephone | 318-254-2453
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Fax | 318-254-2728
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301511070
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 344843
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License Number State | LA
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