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General NPI Number Information
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NPI Number | 1447596556
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Entity Type | Individual
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Provider Name | AFROZ SADAT PASHA PT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 14766 WASHINGTON AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94578-4220
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Country | US
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Telephone | 510-352-2211
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Fax | 510-352-8731
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Provider Business Mailing Address
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Address Line | 5065 HAVEN PL APT #203
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City | DUBLIN
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State | CA
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Zip | 94568-7915
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Country | US
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Telephone | 925-216-5531
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 36471
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License Number State | CA
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