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General NPI Number Information
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NPI Number | 1427741040
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Entity Type | Individual
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Provider Name | BADIHA FATIMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 8317 DAVIS ST
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City | DOWNEY
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State | CA
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Zip | 90241-4918
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Country | US
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Telephone | 562-359-2087
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 W 182ND ST APT 10
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City | TORRANCE
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State | CA
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Zip | 90504-4728
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Country | US
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Telephone | 424-558-9658
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA62771
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License Number State | CA
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