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General NPI Number Information
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NPI Number | 1902628035
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Entity Type | Individual
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Provider Name | SEYED ALIPASHA RASSOULI MD, FRCSC, FACS
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Gender | Male
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1979 16TH STREET EAST UNIT #E3
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City | OWEN SOUND
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State | ONTARIO
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Zip | N4K 5N3
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Country | CA
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Telephone | 226-909-3590
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Fax |
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Provider Business Mailing Address
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Address Line | 403 PARKVIEW AVE
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City | NORTH YORK
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State | ONTARIO
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Zip | N4K 6L5
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Country | CA
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 278965
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | ME171032
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD445873
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License Number State | PA
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