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General NPI Number Information
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NPI Number | 1053622209
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Entity Type | Organization
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Legal Business Name | BISHOP KARAS COMMUNITY CLINIC
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 18021 SKY PARK CIR BLDG 68 STE. H
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City | IRVINE
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State | CA
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Zip | 92614-6523
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Country | US
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Telephone | 949-260-0746
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Fax | 949-263-8683
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Provider Business Mailing Address
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Address Line | 18021 SKY PARK CIRCLE BLDG.68 STE. H
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City | IRVINE
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State | CA
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Zip | 92614
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Country | US
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Telephone | 949-260-0746
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Fax | 949-263-8683
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. NAGUIB SHEHATA BEBAWI
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Credential | MD
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Telephone | 949-260-0746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | A46388
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License Number State | CA
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