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General NPI Number Information
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NPI Number | 1225433493
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Entity Type | Individual
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Provider Name | OMAR SALEM M ALHARBI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 4650 SUNSET BLVD MS#78
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-361-2181
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Fax |
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Provider Business Mailing Address
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Address Line | 4650 SUNSET BLVD, MS#78
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-361-2181
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | A148217
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License Number State | CA
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