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General NPI Number Information
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NPI Number | 1265851471
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Entity Type | Organization
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Legal Business Name | KAMI ADIBI MD, INC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 9064 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1813
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Country | US
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Telephone | 310-717-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 9064 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1813
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Country | US
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Telephone | 310-717-5777
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. KAMI ADIBI
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Credential | M.D.
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Telephone | 310-717-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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