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General NPI Number Information
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NPI Number | 1134525140
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Entity Type | Organization
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Legal Business Name | LIVERMORE FAMILY MEDICINE & GERIATRICS, INC.
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 12/13/2014
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Provider Practice Location Address
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Address Line | 1050 MURRIETA BLVD
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City | LIVERMORE
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State | CA
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Zip | 94550-4111
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Country | US
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Telephone | 925-344-4450
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Fax | 925-344-4451
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Provider Business Mailing Address
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Address Line | PO BOX 1931
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City | PLEASANTON
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State | CA
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Zip | 94566-0193
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Country | US
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Telephone | 925-344-4450
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Fax | 925-344-4451
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANIE ZEHRA
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Credential | MD
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Telephone | 925-344-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A101095
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A101095
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License Number State | CA
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