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General NPI Number Information
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NPI Number | 1215270533
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Entity Type | Individual
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Provider Name | ROUZBEH FATEH M.D
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Gender | Male
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1200 EL CAMINO REAL
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080
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Country | US
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Telephone | 650-742-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 OWENS DR, BLDG E, FL 2
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City | PLEASANTON
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State | CA
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Zip | 94588-3900
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Country | US
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Telephone | 510-625-6262
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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 | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number | A174833
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | A174833
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 56992
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 174833
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | A174833
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A174833
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License Number State | CA
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