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General NPI Number Information
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NPI Number | 1437412707
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Entity Type | Individual
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Provider Name | NASSER SAMIR EL-OKDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 1250 16TH ST 2304 CENTRAL WING
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City | SANTA MONICA
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State | CA
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Zip | 90404-1249
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Country | US
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Telephone | 310-319-4698
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Fax |
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Provider Business Mailing Address
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Address Line | 11955 W WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90066-5887
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Country | US
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Telephone | 419-464-2940
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A137440
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A137440
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License Number State | CA
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