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General NPI Number Information
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NPI Number | 1205954351
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Entity Type | Organization
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Legal Business Name | DAHLIA BU MD A PROF CORP.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 5525 DEWEY DR 108
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City | FAIR OAKS
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State | CA
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Zip | 95628
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Country | US
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Telephone | 916-961-2800
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Fax | 916-961-7264
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Provider Business Mailing Address
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Address Line | 5525 DEWEY DR 108
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City | FAIR OAKS
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State | CA
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Zip | 95628
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Country | US
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Telephone | 916-961-2800
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Fax | 916-961-7264
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Authorized Official
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Title or Position | MD
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Name | DAHLIA BU
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Credential | MD
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Telephone | 916-961-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G40859
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License Number State | CA
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