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General NPI Number Information
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NPI Number | 1508771577
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Entity Type | Organization
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Legal Business Name | IBNE SINA COMMUNITY CLINIC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 12882 N LOWER SACRAMENTO RD
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City | LODI
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State | CA
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Zip | 95242-9225
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Country | US
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Telephone | 209-200-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 RIVERGATE DR
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City | LODI
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State | CA
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Zip | 95240-0555
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Country | US
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Telephone | 209-663-0453
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMINA QAMAR
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Credential | MD
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Telephone | 209-715-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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