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General NPI Number Information
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NPI Number | 1497250955
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Entity Type | Individual
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Provider Name | OMEED AHADIAT
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 26700 TOWNE CENTRE DR STE 170
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City | FOOTHILL RANCH
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State | CA
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Zip | 92610-2850
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Country | US
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Telephone | 949-919-3834
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Fax | 949-535-4411
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Provider Business Mailing Address
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Address Line | 20270 KLINE LN
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City | YORBA LINDA
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State | CA
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Zip | 92887-3269
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Country | US
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Telephone |
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Fax | 949-535-4411
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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 | A163538
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License Number State | CA
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