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General NPI Number Information
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NPI Number | 1013037811
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Entity Type | Organization
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Legal Business Name | JOSEPH SCIABBARRASI, M.D., INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE SUITE 208
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 310-268-8466
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Fax | 310-268-8122
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE SUITE 208
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 310-268-8466
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Fax | 310-268-8122
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Authorized Official
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Title or Position | OFFICER
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Name | DR. JOSEPH SCIABBARRASI
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Credential | M.D.
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Telephone | 310-268-8466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G53400
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License Number State | CA
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