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General NPI Number Information
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NPI Number | 1851223093
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Entity Type | Individual
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Provider Name | PARVANEH GHANBARI
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 19020 33RD AVE W STE AND250
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City | LYNNWOOD
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State | WA
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Zip | 98036-4746
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Country | US
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Telephone | 425-458-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BROADWAY APT 631
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City | SEATTLE
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State | WA
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Zip | 98122-7035
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Country | US
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Telephone | 360-961-1923
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDCE.ML.70112708
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License Number State | WA
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