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General NPI Number Information
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NPI Number | 1588857536
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Entity Type | Organization
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Legal Business Name | SABRI E. SEN, M.D., INC.
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 3903 LONE TREE WAY SUITE 310
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City | ANTIOCH
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State | CA
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Zip | 94509
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Country | US
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Telephone | 612-812-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 LONE TREE WAY SUITE 310
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City | ANTIOCH
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State | CA
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Zip | 94509
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Country | US
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Telephone | 612-812-4431
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SABRI E SEN
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Credential | M.D.
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Telephone | 612-812-4431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | C52938
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License Number State | CA
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