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General NPI Number Information
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NPI Number | 1740289297
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Entity Type | Individual
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Provider Name | SARI ALI NABULSI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 5801 W WADLEY AVE
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City | MIDLAND
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State | TX
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Zip | 79707-5055
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Country | US
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Telephone | 432-699-2636
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Fax | 432-699-4134
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Provider Business Mailing Address
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Address Line | 5801 W WADLEY AVE
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City | MIDLAND
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State | TX
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Zip | 79707-5055
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Country | US
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Telephone | 432-699-2636
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Fax | 432-699-4134
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K6175
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License Number State | TX
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