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General NPI Number Information
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NPI Number | 1952400871
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Entity Type | Organization
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Legal Business Name | FAZEELA H BAQAI MD INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1 LEAGUE UNIT 61303
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City | IRVINE
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State | CA
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Zip | 92602-7060
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Country | US
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Telephone | 949-427-6989
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Fax | 866-381-9560
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Provider Business Mailing Address
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Address Line | 1 LEAGUE UNIT 61303
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City | IRVINE
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State | CA
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Zip | 92602-7060
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Country | US
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Telephone | 949-427-6989
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Fax | 866-381-9560
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Authorized Official
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Title or Position | PHYSICIAN PRACTICE MANAGER
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Name | GLORIA RUIZ
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Credential |
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Telephone | 505-216-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A49971
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License Number State | CA
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