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General NPI Number Information
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NPI Number | 1558840454
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Entity Type | Organization
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Legal Business Name | ZAINAB MAHMOUD MD INC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1752
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Country | US
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Telephone | 818-789-6622
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Fax | 818-789-5833
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Provider Business Mailing Address
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Address Line | 4910 VAN NUYS BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1752
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Country | US
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Telephone | 818-789-6622
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Fax | 818-789-5833
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Authorized Official
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Title or Position | FAMILY PHYSICIAN/OWNER
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Name | DR. ZAINAB MAHMOUD
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Credential | MD
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Telephone | 818-789-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A115059
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License Number State | CA
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