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General NPI Number Information
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NPI Number | 1114319373
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Entity Type | Organization
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Legal Business Name | NORTH HILLS PRIMARY CARE, INC.
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 15343 PARTHENIA ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-5105
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Country | US
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Telephone | 818-514-8181
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Fax | 818-514-8180
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Provider Business Mailing Address
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Address Line | 15343 PARTHENIA ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-5105
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Country | US
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Telephone | 818-514-8181
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Fax | 818-514-8180
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | FARES RABADI
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Credential | MD
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Telephone | 818-514-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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