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General NPI Number Information
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NPI Number | 1174050611
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Entity Type | Individual
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Provider Name | SAIDA HARDOON MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 835 HIGHLAND SPRINGS AVE STE 301
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City | BEAUMONT
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State | CA
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Zip | 92223-5771
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Country | US
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Telephone | 909-312-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 W REDLANDS BLVD
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City | REDLANDS
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State | CA
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Zip | 92373-3145
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Country | US
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Telephone | 909-312-0085
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A165705
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License Number State | CA
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