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General NPI Number Information
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NPI Number | 1477929974
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Entity Type | Organization
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Legal Business Name | TALAL R. MUHTASEB M.D. INC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 3998 VISTA WAY SUITE C
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City | OCEANSIDE
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State | CA
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Zip | 92056
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Country | US
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Telephone | 760-687-9791
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Fax | 760-730-5740
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Provider Business Mailing Address
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Address Line | PO BOX 2164
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City | OCEANSIDE
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State | CA
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Zip | 92051-2164
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Country | US
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Telephone | 760-687-9791
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Fax | 760-730-5740
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TALAL RAJAB MUHTASEB
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Credential | MD
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Telephone | 760-687-9791
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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 | A40901
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License Number State | CA
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