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General NPI Number Information
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NPI Number | 1063512473
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Entity Type | Individual
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Provider Name | ADEL K EL-BIALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 23928 LYONS AVE STE 201
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City | NEWHALL
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State | CA
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Zip | 91321-2454
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Country | US
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Telephone | 661-254-6600
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Fax | 661-254-6603
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Provider Business Mailing Address
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Address Line | 15243 VANOWEN ST SUITE # 301
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City | VAN NUYS
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State | CA
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Zip | 91405-3605
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Country | US
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Telephone | 818-782-5041
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Fax | 818-205-9091
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A53313
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A53313
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License Number State | CA
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