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General NPI Number Information
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NPI Number | 1235644113
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Entity Type | Organization
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Legal Business Name | MEDICERA INC.
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 3630 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2609
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Country | US
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Telephone | 562-904-6031
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Fax |
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Provider Business Mailing Address
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Address Line | 8077 FLORENCE AVE STE 112
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City | DOWNEY
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State | CA
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Zip | 90240-3894
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Country | US
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Telephone | 562-904-6031
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AYMAN ALLADAWI
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Credential | MD
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Telephone | 562-904-6031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State | CA
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