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General NPI Number Information
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NPI Number | 1669776845
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Entity Type | Organization
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Legal Business Name | MARWA KILANI, M.D.
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 21781 VENTURA BLVD #510
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1835
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Country | US
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Telephone | 310-429-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 21781 VENTURA BLVD #510
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1835
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Country | US
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Telephone | 310-429-7246
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARWA KILANI
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Credential | M.D.
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Telephone | 310-429-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A77118
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License Number State | CA
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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 | A77118
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License Number State | CA
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