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General NPI Number Information
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NPI Number | 1346961968
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Entity Type | Organization
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Legal Business Name | INFINITY HEALTH INC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 36915 COOK STREET STE 103
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City | PALM DESERT
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State | CA
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Zip | 92211
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Country | US
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Telephone | 760-641-7217
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Fax | 760-406-5636
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Provider Business Mailing Address
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Address Line | 36915 COOK STREET STE 103
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City | PALM DESERT
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State | CA
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Zip | 92211
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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 | CEO
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Name | SANA KHAN
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Credential | D.O.
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Telephone | 760-641-7217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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