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General NPI Number Information
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NPI Number | 1871103408
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Entity Type | Organization
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Legal Business Name | QUEENS EMPIRE HEALTH
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3123 N DAVIDSON ST STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28205-1054
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Country | US
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Telephone | 252-470-6825
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 HENDERSON DR STE C-1
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARIN PIRAMZADIAN
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Credential |
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Telephone | 718-514-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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