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General NPI Number Information
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NPI Number | 1225375777
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Entity Type | Organization
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Legal Business Name | CENTURY WOMEN MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 16900 LAKEWOOD BLVD # 308
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City | BELLFLOWER
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State | CA
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Zip | 90706-5580
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Country | US
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Telephone | 310-553-1200
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Fax | 310-553-1216
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK EAST 507
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City | LOS ANGELES
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State | CA
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Zip | 90067-2008
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Country | US
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Telephone | 310-553-1200
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Fax | 310-553-1216
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | ALBERT ABRAHAM NASSIR
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Credential | M.D.
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Telephone | 310-553-1200
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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 | A64700
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License Number State | CA
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