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General NPI Number Information
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NPI Number | 1801516380
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Entity Type | Individual
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Provider Name | NATALI FEYZBAKHSH PA
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 18 BON AIR RD
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City | LARKSPUR
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State | CA
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Zip | 94939-1123
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Country | US
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Telephone | 415-927-5300
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Fax | 415-927-6030
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Provider Business Mailing Address
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Address Line | 9656 THUNDERBIRD DR
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City | SAN RAMON
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State | CA
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Zip | 94583-3620
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Country | US
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Telephone | 925-997-7227
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA64248
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License Number State | CA
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