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General NPI Number Information
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NPI Number | 1013965920
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Entity Type | Organization
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Legal Business Name | ALBERTO X. CAMPAIN, M.D., A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 4940 VAN NUYS BLVD. SUITE 200
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1741
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Country | US
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Telephone | 818-528-1090
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Fax | 818-528-1099
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Provider Business Mailing Address
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Address Line | 4940 VAN NUYS BLVD. SUITE 200
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1741
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Country | US
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Telephone | 818-528-1090
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Fax | 818-528-1099
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALBERTO X. CAMPAIN
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Credential | M.D.
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Telephone | 818-528-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A29432
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License Number State | CA
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