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General NPI Number Information
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NPI Number | 1588213029
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Entity Type | Individual
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Provider Name | MOHAMMAD KHALEGHIFAR PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/07/2019
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 851 E 6TH ST STE A4
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City | BEAUMONT
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State | CA
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Zip | 92223-2371
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Country | US
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Telephone | 909-756-7001
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Fax | 951-381-1122
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Provider Business Mailing Address
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Address Line | 7779 SWEET RANCH CIR
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City | RIVERSIDE
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State | CA
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Zip | 92507-1593
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Country | US
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Telephone | 909-283-9966
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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 | 296809
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License Number State | CA
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