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General NPI Number Information
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NPI Number | 1528337672
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Entity Type | Organization
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Legal Business Name | SYEDA BAIG M.D. INC.
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 13141 CENTRAL AVE SUITE H
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City | CHINO
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State | CA
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Zip | 91710-4100
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Country | US
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Telephone | 909-569-5047
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Fax | 909-992-3067
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Provider Business Mailing Address
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Address Line | 1079 SUNSET BLUFF RD
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City | WALNUT
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State | CA
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Zip | 91789-5050
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Country | US
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Telephone | 909-261-2646
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Fax | 909-522-4448
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AZEEZ BAIG
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Credential |
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Telephone | 909-261-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | A71834
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License Number State | CA
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