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General NPI Number Information
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NPI Number | 1558438382
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Entity Type | Individual
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Provider Name | FIRHANA ZAHID KHAIRULLAH DO
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 8686 HAVEN AVE STE 200
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-9109
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Country | US
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Telephone | 909-706-3950
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 ROCKROSE DR
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City | CORONA
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State | CA
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Zip | 92882-2308
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Country | US
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Telephone | 909-510-1412
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A9087
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License Number State | CA
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