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General NPI Number Information
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NPI Number | 1568872836
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Entity Type | Individual
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Provider Name | LINA HASHEM DAJANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 12/15/2019
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Provider Practice Location Address
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Address Line | 10710 N TORREY PINES RD # MS 315
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City | LA JOLLA
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State | CA
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Zip | 92037-1035
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Country | US
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Telephone | 858-554-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD # 4S-205
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 858-605-7171
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Fax |
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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 | BP10049989
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A153778
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License Number State | CA
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