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General NPI Number Information
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NPI Number | 1750483327
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Entity Type | Individual
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Provider Name | BACHAR KURDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE SUITE 254
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7506
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Country | US
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Telephone | 714-546-5967
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Fax | 714-546-5970
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Provider Business Mailing Address
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Address Line | 14252 CULVER DR PMB903
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City | IRVINE
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State | CA
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Zip | 92604-0317
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Country | US
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Telephone | 714-546-5967
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Fax | 714-546-5970
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A69719
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License Number State | CA
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