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General NPI Number Information
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NPI Number | 1639990492
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Entity Type | Organization
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Legal Business Name | DALIA DAWOUD MD INC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 30465 AVENIDA DE LAS FLORES STE A
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688
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Country | US
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Telephone | 949-264-6001
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Fax | 949-264-6012
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Provider Business Mailing Address
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Address Line | PO BOX 10417
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City | HOLYOKE
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State | MA
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Zip | 01041-2017
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Country | US
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Telephone | 909-710-7600
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Fax |
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Authorized Official
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Title or Position | OWNER, NP
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Name | SOHYUN LIM
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Credential |
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Telephone | 949-264-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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