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General NPI Number Information
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NPI Number | 1386990513
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Entity Type | Organization
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Legal Business Name | ASHRAF M ELMASHAT MD INC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 8950 VILLA LA JOLLA DR
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City | LA JOLLA
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State | CA
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Zip | 92037-1714
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Country | US
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Telephone | 858-336-9659
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55051
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City | IRVINE
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State | CA
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Zip | 92619-5051
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Country | US
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Telephone | 858-336-9659
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHRAF M ELMASHAT
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Credential | MD
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Telephone | 858-336-9659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A68922
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License Number State | CA
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