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General NPI Number Information
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NPI Number | 1972560381
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Entity Type | Organization
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Legal Business Name | JIVA HEALTH PRIMARY CARE
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2182 EAST ST
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City | CONCORD
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State | CA
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Zip | 94520-2012
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Country | US
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Telephone | 925-685-4224
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Fax | 925-685-6997
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Provider Business Mailing Address
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Address Line | 2182 EAST ST
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City | CONCORD
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State | CA
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Zip | 94520-2012
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Country | US
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Telephone | 310-903-9727
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Fax | 925-685-6997
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Authorized Official
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Title or Position | PRESIDENT/OWNER/PHYSICIAN
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Name | DR. IMRAN JUNAID
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Credential | MD
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Telephone | 310-903-9727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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