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General NPI Number Information
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NPI Number | 1669413365
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Entity Type | Organization
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Legal Business Name | FREMONT INTERNAL MEDICINE MEDICAL ASSOCIATES,INC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 556 MOWRY AVE SUITE 200
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City | FREMONT
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State | CA
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Zip | 94536-4186
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Country | US
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Telephone | 510-796-0770
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Fax | 510-796-7099
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Provider Business Mailing Address
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Address Line | 160 J ST UNIT 2656
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City | FREMONT
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State | CA
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Zip | 94536-8018
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Country | US
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Telephone | 510-468-1533
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Fax | 510-343-6504
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NOREEN SINGH
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Credential |
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Telephone | 510-468-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A48148
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License Number State | CA
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