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General NPI Number Information
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NPI Number | 1710101811
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Entity Type | Organization
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Legal Business Name | E NADJMABADI, INC.
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 12/19/2021
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Provider Practice Location Address
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Address Line | 300 OLD RIVER RD STE 150
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9512
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Country | US
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Telephone | 661-301-7519
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Fax | 661-491-3459
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Provider Business Mailing Address
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Address Line | 300 OLD RIVER RD STE 150
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9512
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Country | US
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Telephone | 661-301-7519
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Fax | 661-491-3459
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Authorized Official
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Title or Position | OWNER
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Name | ESMAIL NADJMABADI
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Credential | M.D.
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Telephone | 661-301-7519
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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 | A56456
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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