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General NPI Number Information
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NPI Number | 1255726808
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICINE INC
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 8540 ALONDRA BLVD SUITE B-2
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City | PARAMOUNT
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State | CA
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Zip | 90723-5200
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Country | US
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Telephone | 562-602-2508
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Fax | 562-602-2382
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Provider Business Mailing Address
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Address Line | 8540 ALONDRA BLVD SUITE B-2
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City | PARAMOUNT
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State | CA
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Zip | 90723-5200
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Country | US
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Telephone | 562-602-2508
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Fax | 562-602-2382
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Authorized Official
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Title or Position | CEO
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Name | HABIB J HASHMANI
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Credential |
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Telephone | 562-602-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 13802
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A50211
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License Number State | CA
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