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General NPI Number Information
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NPI Number | 1043947005
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Entity Type | Organization
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Legal Business Name | ZUBERI MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 3514 E SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90712
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Country | US
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Telephone | 310-908-9338
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Fax | 562-808-2145
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Provider Business Mailing Address
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Address Line | 5200 CLARK AVE PO BOX 532
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City | LAKEWOOD
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State | CA
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Zip | 90714-9998
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Country | US
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Telephone | 310-908-9338
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Fax | 562-808-2145
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LORENA ILLESCAS
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Credential | SURGICAL TECH
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Telephone | 310-908-9338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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