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General NPI Number Information
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NPI Number | 1659554103
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Entity Type | Organization
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Legal Business Name | SATISH K. LAL MD A PROFESSINAL CORPORATION
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 10841 WHITE OAK AVE SUITE 100
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3811
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Country | US
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Telephone | 909-989-4002
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Fax | 909-989-4004
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Provider Business Mailing Address
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Address Line | 10841 WHITE OAK AVE SUITE 100
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3811
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Country | US
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Telephone | 909-989-4002
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Fax | 909-989-4004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SATISH KUMAR LAL
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Credential |
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Telephone | 909-949-6534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A34462
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License Number State |
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