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General NPI Number Information
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NPI Number | 1376706853
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Entity Type | Individual
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Provider Name | ANH ALINE MAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2008
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 1701 SANTA ANITA AVE
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City | SOUTH EL MONTE
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State | CA
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Zip | 91733-3411
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Country | US
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Telephone | 626-679-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 12027 ANETA ST
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City | CULVER CITY
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State | CA
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Zip | 90230-5909
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Country | US
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Telephone | 714-267-8314
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT193208
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A117560
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License Number State | CA
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