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General NPI Number Information
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NPI Number | 1235395799
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Entity Type | Individual
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Provider Name | MUNIF Y RABADI M.D
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 801 S CHEVY CHASE DR SUITE 230
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City | GLENDALE
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State | CA
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Zip | 91205-4431
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Country | US
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Telephone | 818-500-5586
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Fax | 818-500-5587
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Provider Business Mailing Address
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Address Line | 5929 WHITSETT AVE APT 210
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-1182
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Country | US
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Telephone | 661-600-2307
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Fax | 818-500-5587
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A104966
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License Number State | CA
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