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General NPI Number Information
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NPI Number | 1871766170
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Entity Type | Organization
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Legal Business Name | MARJAN SEDDIGHZADEH, M.D., P.A.
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 6200 W PARKER RD # MOB1 SUITE 200
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City | PLANO
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State | TX
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Zip | 75093-7939
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Country | US
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Telephone | 972-608-4433
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Fax | 972-608-4466
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Provider Business Mailing Address
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Address Line | 6200 W PARKER RD # MOB1 SUITE 200
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City | PLANO
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State | TX
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Zip | 75093-7939
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Country | US
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Telephone | 972-608-4433
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Fax | 972-608-4466
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARJAN SEDDIGHZADEH
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Credential | M.D.,P.A.
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Telephone | 972-608-4433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M5492
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License Number State | TX
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