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General NPI Number Information
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NPI Number | 1598265431
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Entity Type | Organization
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Legal Business Name | ZARGAR PODIATRY INC
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 370 ELAN VILLAGE LN UNIT 321
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City | SAN JOSE
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State | CA
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Zip | 95134-2535
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Country | US
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Telephone | 949-689-9086
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Fax |
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Provider Business Mailing Address
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Address Line | 370 ELAN VILLAGE LN UNIT 321
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City | SAN JOSE
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State | CA
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Zip | 95134-2535
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALIREZA ZARGAR
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Credential |
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Telephone | 949-689-9086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | E5396
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License Number State | CA
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