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General NPI Number Information
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NPI Number | 1194672980
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Entity Type | Organization
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Legal Business Name | NGAB MEDICAL CORP
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 12047 4TH ST
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City | YUCAIPA
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State | CA
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Zip | 92399-2735
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Country | US
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Telephone | 840-258-0972
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Fax |
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Provider Business Mailing Address
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Address Line | 12569 OVERLAND DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-8969
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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 | OWNER
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Name | TARIK A NGAB
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Credential | MD
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Telephone | 310-745-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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