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General NPI Number Information
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NPI Number | 1467544742
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Entity Type | Organization
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Legal Business Name | KHALDOUN S. SROUJIEH, MD, INC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1300 NORTH VERMONT AVENUE SUITE 401
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-664-6535
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Fax | 323-664-2964
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Provider Business Mailing Address
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Address Line | 1300 NORTH VERMONT AVENUE SUITE 401
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-664-6535
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Fax | 323-664-2964
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KHALDOUN S. SROUJIEH
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Credential | M.D.
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Telephone | 323-664-6535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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