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NPI 1588824254

NPI 1588824254 : DELANO SURGICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION : DELANO, CA

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General NPI Number Information
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    NPI Number           |    1588824254
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    Entity Type          |    Organization 
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    Legal Business Name  |    DELANO SURGICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    06/16/2008
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    Last Update Date     |    10/21/2010
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Provider Practice Location Address
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    Address Line         |    1205 GARCES HIWAY SUITE 303
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    City                 |    DELANO
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    State                |    CA
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    Zip                  |    93215-3659
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    Country              |    US
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    Telephone            |    661-725-4847
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    Fax                  |    661-725-8051
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Provider Business Mailing Address
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    Address Line         |    1205 GARCES HIWAY SUITE 303
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    City                 |    DELANO
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    State                |    CA
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    Zip                  |    93215-3659
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    Country              |    US
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    Telephone            |    661-725-4847
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    Fax                  |    661-725-8051
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Authorized Official
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    Title or Position    |    SOLE PROPRIETOR
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    Name                 |     KARIM  ZAHRIYA 
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    Credential           |    MD
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    Telephone            |    661-725-4847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    G75855
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    License Number State |    CA
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