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General NPI Number Information
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NPI Number | 1023831682
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Entity Type | Organization
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Legal Business Name | ALAA HAJAL MD
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1111 GRAND AVE STE L
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4172
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Country | US
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Telephone | 909-551-0205
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Fax | 909-345-7084
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Provider Business Mailing Address
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Address Line | 11660 CHURCH ST APT 166
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8927
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Country | US
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Telephone | 586-382-5390
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAA HAJAL
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Credential | MD
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Telephone | 586-382-5390
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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 |
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License Number State |
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