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General NPI Number Information
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NPI Number | 1659594570
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Entity Type | Organization
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Legal Business Name | SHERIF M EL-HARAZI MD INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 1510 S CENTRAL AVE SUITE 300
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City | GLENDALE
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State | CA
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Zip | 91204-2569
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Country | US
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Telephone | 818-265-2255
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Fax | 818-507-5027
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Provider Business Mailing Address
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Address Line | 1510 S CENTRAL AVE SUITE 300
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City | GLENDALE
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State | CA
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Zip | 91204-2500
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Country | US
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Telephone | 818-265-2255
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Fax | 818-507-5027
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERIF M EL-HARAZI
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Credential | MD MPH
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Telephone | 818-265-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology 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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A74584
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License Number State | CA
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