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General NPI Number Information
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NPI Number | 1528292315
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Entity Type | Organization
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Legal Business Name | DAVID NEJAT-BINA M.D.,INC.
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 1771 W ROMNEYA DR SUITE C
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City | ANAHEIM
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State | CA
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Zip | 92801-1817
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Country | US
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Telephone | 714-520-3131
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Fax | 714-520-3133
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Provider Business Mailing Address
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Address Line | PO BOX 8929
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City | BREA
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State | CA
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Zip | 92822-5929
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Country | US
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Telephone | 714-520-3131
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Fax | 714-520-3133
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Authorized Official
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Title or Position | SURGEON
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Name | DR. DAVID NEJAT-BINA
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Credential | M.D., FACS
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Telephone | 714-520-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G80039
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License Number State | CA
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