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General NPI Number Information
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NPI Number | 1720621634
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Entity Type | Organization
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Legal Business Name | SHERIF LABATIA MD & MARIANNE MIKHAIL MD INC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 4950 BARRANCA PKWY STE 308
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City | IRVINE
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State | CA
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Zip | 92604-4631
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Country | US
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Telephone | 949-561-0700
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Fax | 949-561-0750
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Provider Business Mailing Address
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Address Line | 4950 BARRANCA PKWY STE 308
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City | IRVINE
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State | CA
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Zip | 92604-4631
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Country | US
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Telephone | 949-561-0700
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Fax | 949-561-0750
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Authorized Official
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Title or Position | CEO
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Name | SHERIF Y LABATIA
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Credential | MD
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Telephone | 949-561-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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