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General NPI Number Information
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NPI Number | 1598413429
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MEDICAL SERVICES CMS
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 3470 FOSTORIA WAY STE A
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City | DANVILLE
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State | CA
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Zip | 94526-5572
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Country | US
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Telephone | 925-963-0759
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 FOSTORIA WAY STE A
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City | DANVILLE
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State | CA
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Zip | 94526-5572
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Country | US
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Telephone | 925-963-0759
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SALIM SHELBY
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Credential | MD
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Telephone | 925-963-0759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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