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General NPI Number Information
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NPI Number | 1548467210
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Entity Type | Individual
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Provider Name | NADIA SABER TADROS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 E LAMBERT RD
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City | BREA
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State | CA
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Zip | 92821-4371
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Country | US
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Telephone | 714-672-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 17561 TEACHERS AVE
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City | IRVINE
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State | CA
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Zip | 92614-6654
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Country | US
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Telephone | 949-733-9304
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Fax | 949-733-3430
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A51471
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License Number State | CA
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