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General NPI Number Information
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NPI Number | 1952368474
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Entity Type | Individual
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Provider Name | ARZHANG AGDAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 23-6 AVE ROBERTO CLEMENTE
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City | CAROLINA
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State | PR
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Zip | 00985-5413
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Country | US
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Telephone | 787-998-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 307 CALLE TORREMOLINO URB, VILLAS DEL SOL
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City | CAROLINA
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State | PR
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Zip | 00985-5105
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Country | US
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Telephone | 787-478-6533
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16134
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License Number State | PR
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