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General NPI Number Information
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NPI Number | 1104197706
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Entity Type | Organization
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Legal Business Name | SURINDER SAINI MD INC
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 1441 AVOCADO AVE SUITE 807
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7721
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Country | US
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Telephone | 949-650-5155
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13278
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City | NEWPORT BEACH
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State | CA
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Zip | 92658-5091
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SURINDER SAINI
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Credential | M.D.
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Telephone | 949-650-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A50364
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License Number State | CA
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