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General NPI Number Information
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NPI Number | 1194274167
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Entity Type | Organization
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Legal Business Name | WELIM AZINGE MD INC
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 2026 N. IMPERIAL AVE. SUITE D
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-693-5372
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Fax | 760-693-5375
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Provider Business Mailing Address
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Address Line | 9880 N. MAGNOLIA AVE. BOX 200
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City | SANTEE
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State | CA
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Zip | 92040
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Country | US
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Telephone | 619-916-3177
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Fax | 619-757-2328
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WELIM AZINGE
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Credential | MD
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Telephone | 619-916-3177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A126925
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A126925
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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 | A126925
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A126925
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | A126925
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | A126925
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | A126925
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | A126925
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A126925
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License Number State | CA
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