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General NPI Number Information
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NPI Number | 1083797963
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Entity Type | Organization
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Legal Business Name | E.P. DELFIN, JR., M.D.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 13330 BLOOMFIELD AVE 112
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City | NORWALK
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State | CA
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Zip | 90650-3251
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Country | US
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Telephone | 562-864-2544
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Fax | 562-864-8608
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Provider Business Mailing Address
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Address Line | 13330 BLOOMFIELD AVE 112
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City | NORWALK
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State | CA
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Zip | 90650-3251
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Country | US
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Telephone | 562-864-2544
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Fax | 562-864-8908
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Authorized Official
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Title or Position | PROPRIETOR
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Name | ELEUTERIO DELFIN JR.
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Credential | M.D.
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Telephone | 562-864-2544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A34020
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A34020
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License Number State | CA
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