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General NPI Number Information
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NPI Number | 1912347360
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Entity Type | Individual
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Provider Name | FAZEL DINARY M.D
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Gender | Male
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Dates
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Enumeration Date | 06/30/2013
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 7700 WASHINGTON VILLAGE DR STE 120
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City | CENTERVILLE
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State | OH
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Zip | 45459-4071
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Country | US
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Telephone | 937-425-4144
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Fax | 937-425-4146
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6423
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.127481
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.127481
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License Number State | OH
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