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General NPI Number Information
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NPI Number | 1326482654
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Entity Type | Organization
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Legal Business Name | AKBAR JAMALL, M.D. INC.
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 2825 SANTA MONICA BLVD SUITE 101
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City | SANTA MONICA
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State | CA
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Zip | 90404-2429
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Country | US
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Telephone | 310-913-9894
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 SANTA MONICA BLVD SUITE 101
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City | SANTA MONICA
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State | CA
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Zip | 90404-2429
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Country | US
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Telephone | 310-913-9894
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AKBAR AFZAL JAMALL
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Credential | M.D.
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Telephone | 310-913-9894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A111145
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License Number State | CA
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