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General NPI Number Information
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NPI Number | 1417171885
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Entity Type | Individual
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Provider Name | MOJGAN HARIRIFAR NP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 750 WELCH RD # 200
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City | PALO ALTO
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State | CA
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Zip | 94304
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Country | US
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Telephone | 650-723-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 MAGDALENA CR # 39
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City | SANTA CLARA
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State | CA
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Zip | 95051
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Country | US
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Telephone | 408-296-3934
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10909
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License Number State | CA
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