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General NPI Number Information
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NPI Number | 1629240544
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Entity Type | Individual
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Provider Name | FATEMEH PAZOUKI M.D
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Gender | Female
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 1801 COLORADO AVE
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City | TURLOCK
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State | CA
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Zip | 95382-2706
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Country | US
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Telephone | 925-324-3226
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4398
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City | MODESTO
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State | CA
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Zip | 95352-4398
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Country | US
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Telephone | 209-575-4575
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Fax | 209-575-4598
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A102778
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License Number State | CA
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