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General NPI Number Information
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NPI Number | 1194774075
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Entity Type | Individual
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Provider Name | PARVEZ MEHBOOB FATTEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 2033 GATEWAY PL 5TH FL OFFICE 647
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City | SAN JOSE
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State | CA
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Zip | 95110-3709
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Country | US
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Telephone | 408-539-5652
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Fax | 559-546-4823
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Provider Business Mailing Address
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Address Line | 1037 DEER CREEK CT
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City | PLEASANTON
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State | CA
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Zip | 94566-3446
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Country | US
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Telephone | 510-427-4268
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Fax | 510-319-8775
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A66560
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License Number State | CA
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