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General NPI Number Information
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NPI Number | 1235542531
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Entity Type | Individual
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Provider Name | SANNA FATIMA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 4053 LONE TREE WAY STE 201
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City | ANTIOCH
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State | CA
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Zip | 94531-6210
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Country | US
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Telephone | 925-513-2483
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Fax | 925-513-8226
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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Country | US
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Telephone | 925-756-3400
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Fax | 510-506-7728
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A154332
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD461484
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License Number State | PA
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