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General NPI Number Information
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NPI Number | 1780875476
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Entity Type | Individual
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Provider Name | PASHTOON H SAFI PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 23500 KASSON RD
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City | TRACY
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State | CA
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Zip | 95376
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Country | US
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Telephone | 209-835-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 981 SHORTLAND CIR
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City | MANTECA
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State | CA
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Zip | 95337-8569
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Country | US
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Telephone | 209-825-5692
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA18272
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License Number State | CA
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