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General NPI Number Information
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NPI Number | 1952629750
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Entity Type | Individual
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Provider Name | SHERVIN PARVIZI RAVAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 51 W 51ST ST STE 340
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City | NEW YORK
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State | NY
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Zip | 10019-6113
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Country | US
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Telephone | 347-470-7010
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Fax |
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Provider Business Mailing Address
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Address Line | 24 CLIFTON PL APT 3
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City | BROOKLYN
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State | NY
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Zip | 11238-1202
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Country | US
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 271637
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License Number State | NY
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