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General NPI Number Information
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NPI Number | 1689838641
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Entity Type | Individual
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Provider Name | DILRUBA NISAR HAQUE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 351 HOSPITAL RD STE 610
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3508
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Country | US
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Telephone | 949-999-1400
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Fax | 949-478-8185
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Provider Business Mailing Address
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Address Line | PO BOX 512185
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City | LOS ANGELES
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State | CA
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Zip | 90051-0185
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A96156
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A96156
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A96156
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License Number State | CA
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