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General NPI Number Information
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NPI Number | 1144583873
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Entity Type | Organization
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Legal Business Name | KAISER PERMANENTE
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 1965 RODNEY DR APT 315
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City | LOS ANGELES
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State | CA
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Zip | 90027-3103
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Country | US
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Telephone | 323-699-4083
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Fax |
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Provider Business Mailing Address
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Address Line | 11948 ANDASOL AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-2232
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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 | RESIDENT
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Name | DR. ISAAC ABUSLEME
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Credential | M.D.
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Telephone | 323-699-4083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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