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General NPI Number Information
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NPI Number | 1295996064
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Entity Type | Organization
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Legal Business Name | A K JAFFER MD INC.
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 1011 E DEVONSHIRE AVE SUITE 102
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City | HEMET
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State | CA
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Zip | 92543-3033
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Country | US
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Telephone | 951-658-2218
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Fax | 951-765-9126
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Provider Business Mailing Address
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Address Line | 1011 E DEVONSHIRE AVE SUITE # 102
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City | HEMET
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State | CA
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Zip | 92543-3033
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Country | US
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Telephone | 951-658-2218
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Fax | 951-765-9126
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Authorized Official
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Title or Position | OWNER
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Name | DR. A. KAREEM JAFFER
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Credential | M.D.
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Telephone | 951-658-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00A336260
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License Number State | CA
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