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General NPI Number Information
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NPI Number | 1588854301
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Entity Type | Organization
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Legal Business Name | SAMI N. MAYWOOD, M.D., INC
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 3444 KEARNY VILLA RD SUITE 305
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City | SAN DIEGO
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State | CA
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Zip | 92123-1959
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Country | US
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Telephone | 858-874-0033
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Fax | 858-874-8957
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Provider Business Mailing Address
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Address Line | 3444 KEARNY VILLA RD SUITE 305
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City | SAN DIEGO
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State | CA
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Zip | 92123-1959
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Country | US
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Telephone | 858-874-0033
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Fax | 858-874-8957
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMI N MAYWOOD
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Credential | M.D.
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Telephone | 858-874-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G65754
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License Number State | CA
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