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General NPI Number Information
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NPI Number | 1215051974
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Entity Type | Individual
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Provider Name | NORA HANNA BEBAWI MSPA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 2621 S BRISTOL ST STE 105
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City | SANTA ANA
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State | CA
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Zip | 92704
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Country | US
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Telephone | 714-617-4833
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Fax | 951-787-4962
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Provider Business Mailing Address
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Address Line | 22191 WAYSIDE
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City | MISSION VIEJO
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State | CA
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Zip | 92692-4514
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Country | US
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Telephone | 949-235-3031
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA18542
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License Number State | CA
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