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General NPI Number Information
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NPI Number | 1881120285
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Entity Type | Individual
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Provider Name | CIROUS SADEGHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 2100 STARTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 252-847-4100
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Fax | 716-898-3279
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Provider Business Mailing Address
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Address Line | 1101 KATIE LANE
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 716-525-5478
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Fax | 716-898-3279
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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 | 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 #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 2024-00588
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License Number State | NC
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