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General NPI Number Information
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NPI Number | 1548528011
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Entity Type | Organization
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Legal Business Name | SRG CONSULTING
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 874 WALKER RD STE C
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City | DOVER
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State | DE
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Zip | 19904-2778
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Country | US
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Telephone | 310-941-1113
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Fax |
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Provider Business Mailing Address
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Address Line | 874 WALKER RD STE C
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City | DOVER
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State | DE
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Zip | 19904-2778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALIMA THOBANI
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Credential |
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Telephone | 310-941-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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