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General NPI Number Information
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NPI Number | 1134652282
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Entity Type | Individual
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Provider Name | FIRAS AJAM MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 65 NIELSON ST STE 135
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City | WATSONVILLE
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State | CA
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Zip | 95076-2491
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Country | US
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Telephone | 831-717-4687
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Fax | 831-901-3160
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Provider Business Mailing Address
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Address Line | 1850 EL CAMINO REAL STE 200
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City | BURLINGAME
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State | CA
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Zip | 94010-3102
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Country | US
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Telephone | 650-697-2431
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Fax | 650-697-3659
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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 | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | C201604
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C201604
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | C201604
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License Number State | CA
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