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General NPI Number Information
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NPI Number | 1417292707
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Entity Type | Organization
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Legal Business Name | ANGELS PEDIATRICS, INC.
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 1515 E ALLUVIAL AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-3832
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Country | US
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Telephone | 559-322-5515
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Fax | 559-322-5915
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Provider Business Mailing Address
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Address Line | 1515 E ALLUVIAL AVE STE 105
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City | FRESNO
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State | CA
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Zip | 93720-3832
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Country | US
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Telephone | 559-322-5515
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Fax | 559-322-5915
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Authorized Official
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Title or Position | OWNER OF ANGELS PEDIATRICS, INC.
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Name | DR. ENAS ATTIA
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Credential | MD
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Telephone | 559-322-5515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A110082
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License Number State | CA
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