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General NPI Number Information
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NPI Number | 1982277257
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Entity Type | Organization
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Legal Business Name | AMS MEDICAL CARE, LLC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 731 WALKER RD UNIT 1E
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City | GREAT FALLS
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State | VA
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Zip | 22066-2834
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Country | US
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Telephone | 703-862-4467
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Fax |
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Provider Business Mailing Address
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Address Line | 731 WALKER RD UNIT 1E
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City | GREAT FALLS
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State | VA
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Zip | 22066-2834
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Country | US
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Telephone | 443-739-2315
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER/AUTHORIZED OFFICIAL
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Name | DR. ALI MIREBRAHIMI-TAFRESHI
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Credential | MD
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Telephone | 443-739-2315
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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 |
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License Number State |
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