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General NPI Number Information
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NPI Number | 1760981716
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Entity Type | Organization
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Legal Business Name | JOINT PRESERVATION INSTITUTE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 100 N WIGET LN STE 200
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City | WALNUT CREEK
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State | CA
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Zip | 94598-5901
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Country | US
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Telephone | 925-322-2908
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Fax | 925-322-2911
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Provider Business Mailing Address
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Address Line | 21C ORINDA WAY # 148
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City | ORINDA
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State | CA
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Zip | 94563-2534
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Country | US
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Telephone | 925-322-2908
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Fax | 925-322-2911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMIR A JAMALI
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Credential | MD
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Telephone | 925-322-2908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A061055
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License Number State | CA
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