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General NPI Number Information
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NPI Number | 1306956362
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Entity Type | Individual
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Provider Name | SASSAN FALSAFI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 911 MORAGA RD SUITE 102
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City | LAFAYETTE
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State | CA
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Zip | 94549-4579
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Country | US
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Telephone | 925-299-9919
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Fax | 510-635-9514
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Provider Business Mailing Address
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Address Line | 911 MORAGA RD STE 102
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City | LAFAYETTE
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State | CA
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Zip | 94549-4591
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Country | US
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Telephone | 925-299-9919
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Fax | 925-299-9924
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A85934
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License Number State | CA
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