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General NPI Number Information
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NPI Number | 1407967631
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Entity Type | Individual
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Provider Name | MOHAMED EL-GABALAWY MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 1111 S ARROYO PKWY SUITE 405
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City | PASADENA
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State | CA
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Zip | 91105-3254
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Country | US
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Telephone | 626-799-5520
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Fax | 626-799-5570
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Provider Business Mailing Address
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Address Line | PO BOX 50611
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City | PASADENA
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State | CA
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Zip | 91115-0611
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Country | US
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Telephone | 626-799-5520
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Fax | 626-799-5570
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C50305
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License Number State | CA
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