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General NPI Number Information
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NPI Number | 1346300613
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Entity Type | Organization
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Legal Business Name | SAMER ALAITI MD INC
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 6200 WILSHIRE BLVD SUITE 1502
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City | LOS ANGELES
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State | CA
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Zip | 90048-5801
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Country | US
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Telephone | 323-938-2626
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Fax | 323-938-2493
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Provider Business Mailing Address
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Address Line | 6200 WILSHIRE BLVD SUITE 1502
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City | LOS ANGELES
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State | CA
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Zip | 90048-5801
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Country | US
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Telephone | 323-938-2626
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Fax | 323-938-2493
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Authorized Official
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Title or Position | PRESIDENT OWNNER
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Name | DR. SAMER ALAITI
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Credential | M.D.
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Telephone | 323-938-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A51530
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License Number State | CA
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