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General NPI Number Information
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NPI Number | 1740385624
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Entity Type | Organization
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Legal Business Name | ADEL E. ZAKI, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 1233 N VERMONT AVE SUITE 3
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City | LOS ANGELES
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State | CA
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Zip | 90029-1749
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Country | US
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Telephone | 323-660-2090
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Fax | 323-953-9549
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Provider Business Mailing Address
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Address Line | 1233 N VERMONT AVE SUITE 3
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City | LOS ANGELES
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State | CA
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Zip | 90029-1749
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Country | US
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Telephone | 323-660-2090
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Fax | 323-953-9549
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADEL EDWARD ZAKI
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Credential | M.D.
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Telephone | 323-660-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A24061
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License Number State | CA
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