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General NPI Number Information
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NPI Number | 1891437968
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Entity Type | Individual
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Provider Name | ARGHAVAN FARHADI
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Gender | Female
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Dates
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Enumeration Date | 04/10/2022
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 65-1190 MAMALAHOA HWY
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City | KAMUELA
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State | HI
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Zip | 96743-8431
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Country | US
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Telephone | 808-887-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E 30TH ST APT 9C
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City | NEW YORK
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State | NY
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Zip | 10016-8332
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Country | US
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Telephone | 949-285-8979
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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 | 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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3002
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License Number State | HI
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