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General NPI Number Information
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NPI Number | 1558386367
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Entity Type | Individual
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Provider Name | ANDREW F NASSERI MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 9888 GENESEE AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-1205
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Country | US
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Telephone | 209-222-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 CRESTHILL PL
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City | EL CAJON
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State | CA
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Zip | 92021-3303
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Country | US
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Telephone | 209-222-0801
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Fax | 619-938-3232
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A94125
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | V3058
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A94125
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License Number State | CA
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