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General NPI Number Information
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NPI Number | 1417291675
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Entity Type | Individual
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Provider Name | SADAF REGAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/11/2012
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 18055 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3517
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Country | US
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Telephone | 818-881-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 18129 MIRANDA ST
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City | TARZANA
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State | CA
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Zip | 91356-1711
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Country | US
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Telephone | 818-917-5215
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | PA21989
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | PA21989
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | PA21989
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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