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General NPI Number Information
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NPI Number | 1255579074
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Entity Type | Organization
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Legal Business Name | ZAFAR PARVEZ MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 164 B ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-9596
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Country | US
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Telephone | 209-394-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 164 B ST
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City | LIVINGSTON
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State | CA
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Zip | 95334-9596
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PA-C
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Name | ZAFAR PARVEZ
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Credential |
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Telephone | 209-394-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | C50247
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License Number State | CA
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