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NPI 1386049260

NPI 1386049260 : FATEMEH JAFARI FARSHAMI M.D. : MISSION VIEJO, CA

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General NPI Number Information
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    NPI Number           |    1386049260
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    Entity Type          |    Individual 
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    Provider Name        |    FATEMEH JAFARI FARSHAMI M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/04/2014
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    26991 CROWN VALLEY PKWY STE 100 
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-6511
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    Country              |    US
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    Telephone            |    949-582-5430
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    Fax                  |    949-348-9513
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35380 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-5380
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    Country              |    US
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    Telephone            |    702-579-3203
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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        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    D0090027
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    RS2014-0882
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    License Number State |    NM
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