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General NPI Number Information
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NPI Number | 1881198307
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Entity Type | Individual
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Provider Name | SARA ZAHEDPOUR ANARAKI
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 31 MAIN RD STE 2
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City | RIVERHEAD
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State | NY
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Zip | 11901-1953
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Country | US
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Telephone | 631-369-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 331 E MAIN ST APT 307
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City | RIVERHEAD
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State | NY
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Zip | 11901-2460
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Country | US
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Telephone | 202-790-7686
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 324416-01
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License Number State | NY
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