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General NPI Number Information
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NPI Number | 1053015214
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Entity Type | Individual
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Provider Name | SUMMER MOSTAFA DO
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3201 GENERAL DEGAULLE DR
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City | NEW ORLEANS
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State | LA
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Zip | 70114-6756
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Country | US
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Telephone | 504-354-2103
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Fax |
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Provider Business Mailing Address
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Address Line | 209 SAGEMOOR CT
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City | ROSEVILLE
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State | CA
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Zip | 95678-3435
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Country | US
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Telephone | 916-380-2118
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 343788
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License Number State | LA
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