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General NPI Number Information
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NPI Number | 1851476790
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Entity Type | Organization
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Legal Business Name | DORDANEH MALEKI, LLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2106 NEW RD UNIT D5
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City | LINWOOD
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State | NJ
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Zip | 08221
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Country | US
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Telephone | 609-927-3888
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Fax | 609-927-3988
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Provider Business Mailing Address
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Address Line | 2106 NEW RD UNIT D5
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City | LINWOOD
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State | NJ
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Zip | 08221-1050
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Country | US
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Telephone | 609-927-3888
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Fax | 609-927-3988
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Authorized Official
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Title or Position | PRESIDENT
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Name | DORDANEH MALEKI
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Credential |
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Telephone | 609-927-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05878700
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License Number State | NJ
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