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General NPI Number Information
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NPI Number | 1962632364
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Entity Type | Individual
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Provider Name | ALIREZA PIRESTANI D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 404 FOX HUNT DR
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City | BEAR
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State | DE
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Zip | 19701
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Country | US
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Telephone | 302-652-2455
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Fax | 302-322-6201
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | NEW CASTLE
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State | DE
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Zip | 19720-0151
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Country | US
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Telephone | 302-652-2455
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Fax | 302-322-6251
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125-056572
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C2-0010489
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C2-0010489
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125-056572
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C2-0010489
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License Number State | DE
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