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General NPI Number Information
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NPI Number | 1508825381
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Entity Type | Individual
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Provider Name | KHURAM A. SIAL M. D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 1810 FULLERTON AVE SUITE 104
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City | CORONA
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State | CA
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Zip | 92881-3103
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Country | US
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Telephone | 951-734-7246
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Fax | 877-694-3331
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Provider Business Mailing Address
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Address Line | PO BOX 3098
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City | TORRANCE
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State | CA
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Zip | 90510-3098
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Country | US
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Telephone | 310-792-3914
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Fax | 855-898-4055
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A90421
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License Number State | CA
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