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General NPI Number Information
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NPI Number | 1942091954
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Entity Type | Individual
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Provider Name | AHMAD PAIGHAM
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Gender | Male
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1778 MOULTRIE TER NE
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City | LEESBURG
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State | VA
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Zip | 20176-6573
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Country | US
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Telephone | 703-814-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 1778 MOULTRIE TER NE
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City | LEESBURG
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State | VA
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Zip | 20176-6573
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Country | US
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Telephone | 703-814-5700
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 173F00000X
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Taxonomy Name | Sleep Specialist (PhD)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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