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General NPI Number Information
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NPI Number | 1679859037
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Entity Type | Organization
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Legal Business Name | NEWPORT ENDOCRINE ASSOCIATES
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD SUITE 415
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-548-3177
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Fax | 949-548-3412
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Provider Business Mailing Address
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Address Line | 351 HOSPITAL RD SUITE 415
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3509
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Country | US
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Telephone | 949-548-3177
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Fax | 949-548-3412
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Authorized Official
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Title or Position | PARTNER/PHYSICIAN
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Name | FARZANA NAQVI
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Credential | MD
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Telephone | 949-548-3177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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