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General NPI Number Information
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NPI Number | 1265788947
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Entity Type | Individual
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Provider Name | LINA CATHERINE SHAMMAS D.O
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 2006 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1319
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Country | US
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Telephone | 818-843-0390
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Fax |
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Provider Business Mailing Address
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Address Line | 1961 CUMMINGS DR
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City | LOS ANGELES
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State | CA
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Zip | 90027-1760
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Country | US
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Telephone | 323-661-2871
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A11488
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License Number State | CA
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