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General NPI Number Information
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NPI Number | 1215114897
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Entity Type | Individual
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Provider Name | KAFIA ABBASI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2008
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 7236 S RECOVERY RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-8901
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Country | US
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Telephone | 209-888-6595
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Fax | 209-888-6596
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Provider Business Mailing Address
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Address Line | 7707 AUSTIN RD
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City | STOCKTON
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State | CA
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Zip | 95215-8312
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Country | US
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Telephone | 707-246-2850
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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 | M-11136
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A113195
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License Number State | CA
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