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General NPI Number Information
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NPI Number | 1154219889
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Entity Type | Organization
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Legal Business Name | INSTADR PC CA
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 30839 E THOUSAND OAKS BLVD
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4039
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Country | US
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Telephone | 310-402-4589
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Fax | 310-564-2814
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Provider Business Mailing Address
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Address Line | 30839 E THOUSAND OAKS BLVD
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4039
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Country | US
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Telephone | 818-850-8707
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Fax | 877-673-1696
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Authorized Official
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Title or Position | OWNER
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Name | ALI CHAHINE
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Credential | MD
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Telephone | 313-615-7395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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