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General NPI Number Information
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NPI Number | 1881680544
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Entity Type | Individual
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Provider Name | KAMBIZ NEGAHBAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 15 ROCHE BROTHERS WAY SUITE 140
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City | NORTH EASTON
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State | MA
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Zip | 02356-1000
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Country | US
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Telephone | 508-238-2388
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Fax | 508-238-2073
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Provider Business Mailing Address
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Address Line | 75 CAMBRIDGE PKWY UNIT E1202
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1229
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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 |
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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 | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | 212310
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 212310
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License Number State | MA
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