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General NPI Number Information
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NPI Number | 1801750740
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Entity Type | Organization
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Legal Business Name | BAY AREA TRAUMA AND ACUTE CARE SURGICAL SPECIALISTS
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 19845 LAKE CHABOT RD STE 200
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4055
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Country | US
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Telephone | 510-538-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 19845 LAKE CHABOT RD STE 200
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOOR SABA AZIMI
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Credential | MD
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Telephone | 510-538-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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