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General NPI Number Information
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NPI Number | 1689492209
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Entity Type | Organization
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Legal Business Name | AMIN ESFAHANI M.D. CORPORATION
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 1390 W H ST STE A
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City | OAKDALE
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State | CA
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Zip | 95361-3529
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Country | US
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Telephone | 209-755-7546
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Fax | 209-444-6634
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Provider Business Mailing Address
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Address Line | 2801 GREWAL PKWY APT 533
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City | MODESTO
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State | CA
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Zip | 95356-8018
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Country | US
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Telephone | 646-306-6613
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIN ESFAHANI
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Credential | MD
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Telephone | 646-306-6613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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