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General NPI Number Information
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NPI Number | 1043666902
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Entity Type | Individual
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Provider Name | MAHA SHARIFF RD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 535 S 2ND AVE
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City | COVINA
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State | CA
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Zip | 91723-3013
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Country | US
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Telephone | 626-214-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 17846 ABERDEEN LN
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City | VILLA PARK
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State | CA
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Zip | 92861-6330
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Country | US
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Telephone | 714-606-3736
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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