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General NPI Number Information
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NPI Number | 1326822768
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Entity Type | Individual
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Provider Name | DAVID FARIDI CNMT, CT
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Gender | Male
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 851 IRWIN ST STE 225A
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3343
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Country | US
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Telephone | 415-300-2738
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Fax |
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Provider Business Mailing Address
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Address Line | 851 IRWIN ST STE 225A
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3343
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Country | US
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Telephone | 415-300-2738
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Fax |
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | RHN00003450
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | RHN00003450
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | RHN00003450
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | RHN00003450
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | RHN00003450
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number | RHN00003450
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License Number State | CA
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