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General NPI Number Information
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NPI Number | 1528229689
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Entity Type | Individual
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Provider Name | ALAN FIRAS DAKAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 3941 SAN DIMAS ST STE 101
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City | BAKERSFIELD
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State | CA
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Zip | 93301
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Country | US
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Telephone | 661-864-7944
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Fax | 661-864-7946
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Provider Business Mailing Address
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Address Line | 3941 SAN DIMAS ST STE 101
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5711
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Country | US
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Telephone | 661-864-7944
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Fax | 661-864-7946
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A96755
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License Number State | CA
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