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General NPI Number Information
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NPI Number | 1417685181
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Entity Type | Organization
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Legal Business Name | HEAL MEDICAL WEIGHT LOSS CLINIC CORP.
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 100 GRAND AVE #2306
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City | OAKLAND
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State | CA
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Zip | 94612
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Country | US
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Telephone | 650-273-4082
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Fax | 650-275-7559
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST STE 86909
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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Country | US
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Telephone | 650-273-4082
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Fax | 650-275-7559
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Authorized Official
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Title or Position | CEO/OWNER
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Name | FARZANA AMIN
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Credential | M.D.
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Telephone | 314-629-7696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0002X
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Taxonomy Name | Obesity Medicine (Psychiatry & Neurology) 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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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