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General NPI Number Information
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NPI Number | 1801029178
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Entity Type | Individual
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Provider Name | DORNA REZANIA MD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1725 EASTSHORE HWY
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City | BERKELEY
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State | CA
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Zip | 94710-1703
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Country | US
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Telephone | 510-559-5116
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 EASTSHORE HWY
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City | BERKELEY
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State | CA
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Zip | 94710-1703
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Country | US
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Telephone | 510-898-4269
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A 102979
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | ME 95750
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | A 102979
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License Number State | CA
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