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General NPI Number Information
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NPI Number | 1730441197
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Entity Type | Organization
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Legal Business Name | SAFWAN ALBOINY MD INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 205 W LEGION RD
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City | BRAWLEY
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State | CA
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Zip | 92227-7780
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Country | US
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Telephone | 760-550-6366
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Fax | 760-550-6247
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Provider Business Mailing Address
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Address Line | 605 W H ST 110
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City | BRAWLEY
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State | CA
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Zip | 92227-4200
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Country | US
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Telephone | 760-550-6366
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Fax | 760-550-6247
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Authorized Official
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Title or Position | CEO
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Name | SAFWAN ALBOINY
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Credential | MD
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Telephone | 760-550-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A113426
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License Number State | CA
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