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General NPI Number Information
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NPI Number | 1649378084
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Entity Type | Organization
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Legal Business Name | BALBIR S. BRAR, M.D., INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 23861 MCBEAN PKWY SUITE D16
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City | VALENCIA
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State | CA
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Zip | 91355
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Country | US
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Telephone | 661-253-3008
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Fax |
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Provider Business Mailing Address
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Address Line | P.O.BOX 55283
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City | VALENCIA
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State | CA
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Zip | 91385-0283
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Country | US
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Telephone | 661-253-3008
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Fax | 661-253-1448
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | DR. BALBIR S. BRAR
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Credential | M.D.
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Telephone | 661-253-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative 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 | 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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