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General NPI Number Information
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NPI Number | 1023749371
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Entity Type | Organization
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Legal Business Name | TALAL MD INC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 1303 E HERNDON AVE
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City | FRESNO
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State | CA
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Zip | 93720-3309
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Country | US
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Telephone | 559-450-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 N WILLOW AVE STE 103
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City | CLOVIS
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State | CA
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Zip | 93611-4411
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Country | US
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Telephone | 626-354-4708
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TALAL M ARAB
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Credential | MD
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Telephone | 626-354-4708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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