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General NPI Number Information
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NPI Number | 1033481023
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Entity Type | Individual
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Provider Name | SAIEH KHADEMI DPM
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8100 W 78TH ST STE 230
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City | EDINA
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State | MN
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Zip | 55439-2570
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Country | US
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Telephone | 952-946-9777
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Fax | 952-946-9888
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Provider Business Mailing Address
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Address Line | 2925 CHICAGO AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1321
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Country | US
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Telephone | 952-946-9777
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Fax | 952-946-9888
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1200
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | EL1881
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License Number State | CA
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