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NPI 1891727434

NPI 1891727434 : FARIDEH A ARBABZADEH MD : LAKE MARY, FL

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General NPI Number Information
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    NPI Number           |    1891727434
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    Entity Type          |    Individual 
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    Provider Name        |    FARIDEH A ARBABZADEH MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    03/16/2022
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Provider Practice Location Address
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    Address Line         |    758 N SUN DR SUITE# 104
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    City                 |    LAKE MARY
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    State                |    FL
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    Zip                  |    32746-2599
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    Country              |    US
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    Telephone            |    407-333-3303
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    Fax                  |    407-333-3342
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Provider Business Mailing Address
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    Address Line         |    758 N SUN DR SUITE# 104
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    City                 |    LAKE MARY
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    State                |    FL
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    Zip                  |    32746-2599
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    Country              |    US
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    Telephone            |    407-333-3303
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    Fax                  |    407-333-3342
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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        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    ME0074897
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME0074897
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    License Number State |    FL
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