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General NPI Number Information
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NPI Number | 1851896336
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Entity Type | Individual
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Provider Name | ADIR MAGIDISH FNP
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4000 CIVIC CENTER DR STE 360
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City | SAN RAFAEL
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State | CA
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Zip | 94903-4151
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Country | US
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Telephone | 415-339-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 261 10TH ST STE 301
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City | OAKLAND
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State | CA
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Zip | 94607-4465
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Country | US
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Telephone | 510-365-7757
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95033722
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License Number State | CA
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