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General NPI Number Information
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NPI Number | 1679406466
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Entity Type | Organization
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Legal Business Name | PARDIS ESMAEILI-FIRIDOUNI
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 3527 GRAND AVE STE C
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City | OAKLAND
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State | CA
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Zip | 94610-2045
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Country | US
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Telephone | 415-493-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 ACTON ST
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City | BERKELEY
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State | CA
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Zip | 94702-2516
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Country | US
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Telephone | 415-493-8636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PARDIS ESMAEILI-FIRIDOUNI
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Credential | DPT
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Telephone | 415-493-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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