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Individual
MAHDI HEDAYAT
Active
Individual
MAHDI HEDAYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD60878885
WA
152W00000X
Optometrist
Primary
OPC5769
FL
152W00000X
Optometrist
OPT-002333
AZ
Other
Enumeration date
04/16/2019
Last updated
11/04/2022
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