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General NPI Number Information
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NPI Number | 1659670057
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Entity Type | Organization
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Legal Business Name | NILOUFER S. DENNIS MD MEDICAL CORP
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 7930 FROST ST SUITE 103
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City | SAN DIEGO
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State | CA
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Zip | 92123-2737
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Country | US
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Telephone | 800-395-9431
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Fax | 888-502-8290
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Provider Business Mailing Address
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Address Line | 7930 FROST ST SUITE 103
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City | SAN DIEGO
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State | CA
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Zip | 92123-2737
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Country | US
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Telephone | 800-395-9431
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Fax | 888-502-8290
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Authorized Official
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Title or Position | OWNER
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Name | DR. NILOUFER S DENNIS
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Credential | MD
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Telephone | 800-395-9431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A101524
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License Number State | CA
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