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General NPI Number Information
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NPI Number | 1255452793
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Entity Type | Organization
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Legal Business Name | PARVEZ FATTEH, M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/03/2007
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Provider Practice Location Address
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Address Line | 24301 SOUTHLAND DR STE 411
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City | HAYWARD
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State | CA
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Zip | 94545-1551
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Country | US
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Telephone | 510-265-5795
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Fax | 510-732-5461
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Provider Business Mailing Address
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Address Line | 24301 SOUTHLAND DR STE 411
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City | HAYWARD
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State | CA
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Zip | 94545-1551
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Country | US
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Telephone | 510-265-5795
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Fax | 510-732-5461
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARVEZ FATTEH
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Credential | M.D.
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Telephone | 510-265-5795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A66560
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License Number State | CA
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