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General NPI Number Information
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NPI Number | 1295233252
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Entity Type | Organization
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Legal Business Name | FAYAMAN INC.
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 16959 BERNARDO CENTER DR STE 105
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City | SAN DIEGO
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State | CA
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Zip | 92128-2554
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Country | US
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Telephone | 858-247-1005
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Fax | 858-724-0290
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Provider Business Mailing Address
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Address Line | 16959 BERNARDO CENTER DR STE 105
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City | SAN DIEGO
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State | CA
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Zip | 92128-2554
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Country | US
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Telephone | 858-247-1005
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. FAEZEH NEMATI
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Credential |
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Telephone | 171-382-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 374700205
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License Number State | CA
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