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Individual
MR. MEHDI TAGHIZADEH
Active
Individual
MR. MEHDI TAGHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102880
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75936-102
KS
Other
Enumeration date
01/24/2013
Last updated
08/07/2013
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