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General NPI Number Information
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NPI Number | 1114303302
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Entity Type | Individual
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Provider Name | CAMERON SOLAMAN SIKAVI MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 3440 LOMITA BLVD STE 320
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City | TORRANCE
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State | CA
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Zip | 90505-4824
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Country | US
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Telephone | 310-534-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 8631 W 3RD ST STE 1015E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5913
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Country | US
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Telephone | 310-652-4472
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Fax | 855-898-4055
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A147450
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License Number State | CA
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