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General NPI Number Information
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NPI Number | 1164521274
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Entity Type | Organization
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Legal Business Name | CARLOS M DAYRIT JR MD INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 18112 HARVEST AVE
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City | CERRITOS
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State | CA
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Zip | 90703-5551
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Country | US
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Telephone | 562-547-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 18112 HARVEST AVE
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City | CERRITOS
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State | CA
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Zip | 90703-5551
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Country | US
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Telephone | 562-547-2006
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | CARLOS M DAYRIT
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Credential | M.D.
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Telephone | 562-547-2006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A34641
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A34641
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A34641
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License Number State | CA
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