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General NPI Number Information
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NPI Number | 1437302007
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Entity Type | Individual
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Provider Name | AJAYKUMAR NARENDRA AMIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 6901 S. ATLANTIC AVE
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City | BELL
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State | CA
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Zip | 90201
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Country | US
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Telephone | 323-889-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 912 GLEN OAKS BLVD
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City | PASADENA
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State | CA
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Zip | 91105-1106
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Country | US
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Telephone | 702-271-3434
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A9715
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License Number State | CA
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