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General NPI Number Information
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NPI Number | 1659238020
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Entity Type | Organization
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Legal Business Name | DAGHER MD MEDICAL GROUP INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 315 N 3RD AVE STE 104
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City | COVINA
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State | CA
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Zip | 91723-1901
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Country | US
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Telephone | 626-332-1175
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Fax | 626-966-8746
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Provider Business Mailing Address
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Address Line | 376 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-1827
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Country | US
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Telephone | 626-332-1175
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Fax | 626-966-8746
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Authorized Official
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Title or Position | PROVIDER OWNER
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Name | NADIM DAGHER
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Credential |
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Telephone | 626-466-6042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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