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Individual
IRAN KANAN
Active
Individual
IRAN KANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
38923601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3892
MEDICARE
—
Enumeration date
12/27/2018
Last updated
12/23/2023
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