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General NPI Number Information
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NPI Number | 1396238184
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Entity Type | Individual
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Provider Name | DELAIR LUCAS ALNAJJAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 41540 WINCHESTER RD
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City | TEMECULA
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State | CA
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Zip | 92590-4877
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Country | US
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Telephone | 951-365-5585
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Fax | 951-404-7074
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Provider Business Mailing Address
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Address Line | PO BOX 743
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City | BONSALL
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State | CA
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Zip | 92003-0743
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Country | US
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Telephone | 248-840-5871
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A181114
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301115471
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301505557
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License Number State | MI
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