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General NPI Number Information
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NPI Number | 1962660928
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Entity Type | Individual
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Provider Name | NILOFAR FAGHIHNIA D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 425 W BEECH ST UNIT 1306
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City | SAN DIEGO
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State | CA
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Zip | 92101-2961
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Country | US
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Telephone | 916-601-7193
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W BEECH ST UNIT 1306
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City | SAN DIEGO
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State | CA
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Zip | 92101-2961
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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 |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | EL-1756
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | E4935
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License Number State | CA
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