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General NPI Number Information
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NPI Number | 1558599985
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Entity Type | Organization
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Legal Business Name | FIRAS ABUBAKER MD INC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 160 W FOOTHILL PKWY STE 105-221
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City | CORONA
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State | CA
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Zip | 92882-8545
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Country | US
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Telephone | 973-330-1940
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Fax | 951-328-1854
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Provider Business Mailing Address
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Address Line | 160 W FOOTHILL PKWY STE 105-221
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City | CORONA
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State | CA
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Zip | 92882-8545
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Country | US
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Telephone | 973-330-1940
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Fax | 951-328-1854
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Authorized Official
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Title or Position | OWNER
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Name | FIRAS ABUBAKER
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Credential | MD
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Telephone | 973-330-1940
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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 | A101953
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License Number State | CA
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