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General NPI Number Information
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NPI Number | 1730408790
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Entity Type | Organization
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Legal Business Name | PAMILA K BRAR MD, INC.
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE SUITE 570
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City | LA JOLLA
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State | CA
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Zip | 92037-1224
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Country | US
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Telephone | 858-922-2624
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Fax | 858-346-9062
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Provider Business Mailing Address
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Address Line | 3525 DEL MAR HEIGHTS RD #126
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City | SAN DIEGO
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State | CA
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Zip | 92130-2122
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Country | US
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Telephone | 858-922-2624
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | PAMILA K BRAR
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Credential | M.D.
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Telephone | 858-922-2624
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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 | A62754
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License Number State | CA
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