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General NPI Number Information
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NPI Number | 1013525997
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Entity Type | Organization
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Legal Business Name | SABA GAFFAR, MD, INC.
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-885-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1359
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City | SAN CLEMENTE
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State | CA
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Zip | 92674-1359
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Country | US
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Telephone | 949-492-3514
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Fax | 949-366-2390
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Authorized Official
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Title or Position | ACCOUNTS ADMINISTRATOR
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Name | KARA NORDBERG
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Credential |
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Telephone | 949-492-3514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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