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General NPI Number Information
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NPI Number | 1891292280
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Entity Type | Individual
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Provider Name | REZA MOHEBI
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Gender | Male
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 909 HYDE ST STE 317
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4841
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Country | US
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Telephone | 415-885-4971
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Fax |
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Provider Business Mailing Address
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Address Line | 82-68 164TH ST
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City | NEW YORK CITY
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State | NY
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Zip | 11432-1121
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Country | US
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Telephone | 718-883-3000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A188645
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License Number State | CA
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