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General NPI Number Information
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NPI Number | 1649274093
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Entity Type | Organization
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Legal Business Name | H. BABAALI, M.D. MEDICAL INC.
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 2428 SANTA MONICA BLVD STE 402
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City | SANTA MONICA
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State | CA
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Zip | 90404-2047
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Country | US
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Telephone | 310-829-3385
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Fax | 310-828-6635
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Provider Business Mailing Address
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Address Line | 2428 SANTA MONICA BLVD STE 402
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City | SANTA MONICA
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State | CA
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Zip | 90404-2047
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Country | US
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Telephone | 310-829-3385
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Fax | 310-828-6635
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Authorized Official
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Title or Position | EMPLOYER
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Name | DR. HOSSEIN BABAALI
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Credential | M.D.
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Telephone | 310-829-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | G86162
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License Number State | CA
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