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General NPI Number Information
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NPI Number | 1699639013
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Entity Type | Organization
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Legal Business Name | POFS PARTNERSHIP
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 235 N SAN MATEO DR STE 600
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City | SAN MATEO
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State | CA
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Zip | 94401-2675
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Country | US
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Telephone | 650-342-0213
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Fax | 650-342-0636
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Provider Business Mailing Address
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Address Line | 235 N SAN MATEO DR STE 600
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City | SAN MATEO
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State | CA
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Zip | 94401-2675
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Country | US
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Telephone | 650-342-0213
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Fax | 650-342-0636
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Authorized Official
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Title or Position | PARTNER
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Name | ADAM PETER FAGIN
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Credential | MD
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Telephone | 650-823-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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