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General NPI Number Information
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NPI Number | 1457308223
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Entity Type | Organization
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Legal Business Name | JOHN SHAIB, M.D., INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/16/2009
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Provider Practice Location Address
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Address Line | 9040 TELEGRAPH RD STE 100 ATTENTION: MAGGIE NOLES MS 6160
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City | DOWNEY
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State | CA
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Zip | 90240-2395
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Country | US
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Telephone | 562-861-0954
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Fax | 562-231-1904
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Provider Business Mailing Address
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Address Line | PO BOX 486 ATTENTION: MAGGIE NOLES MS 6160
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City | ARTESIA
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State | CA
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Zip | 90702-0486
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Country | US
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Telephone | 562-741-4461
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Fax | 562-741-4413
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN K SHAIB
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Credential | M.D.
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Telephone | 562-741-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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