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General NPI Number Information
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NPI Number | 1992803928
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Entity Type | Individual
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Provider Name | MEHRAN M SADEGHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 950 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-2770
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Country | US
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Telephone | 203-932-5711
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Fax | 203-937-3884
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Provider Business Mailing Address
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Address Line | 340 FALLS RD
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City | BETHANY
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State | CT
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Zip | 06524-3359
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Country | US
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Telephone | 203-932-5711
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Fax | 203-937-3884
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 034674
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 034674
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License Number State | CT
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