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General NPI Number Information
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NPI Number | 1831144732
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Entity Type | Individual
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Provider Name | NEEMA MOHAMMAD AGHAMOHAMMADI D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 3637 MISSION AVE SUITE 7
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City | CARMICHAEL
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State | CA
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Zip | 95608-2946
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Country | US
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Telephone | 916-679-3524
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Fax | 916-679-3563
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Provider Business Mailing Address
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Address Line | 77 CADILLAC DR SUITE 210
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City | SACRAMENTO
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State | CA
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Zip | 95825-5453
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Country | US
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Telephone | 916-325-1040
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Fax | 916-669-4144
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 207A 7859
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 20A7859
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License Number State | CA
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