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General NPI Number Information
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NPI Number | 1023335817
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Entity Type | Individual
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Provider Name | ERENE NAWAR SAMI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 26800 CROWN VALLEY PKWY STE 485
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City | MISSION VIEJO
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State | CA
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Zip | 92691-8025
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Country | US
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Telephone | 949-364-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E VALENCIA MESA DR STE 105
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City | FULLERTON
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State | CA
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Zip | 92835-3816
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Country | US
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Telephone | 714-446-5640
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Fax | 714-446-5625
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A120158
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A120158
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License Number State | CA
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