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General NPI Number Information
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NPI Number | 1750518809
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Entity Type | Organization
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Legal Business Name | SN TUMA INC
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 325 ROLLING OAKS DR SUITE 110
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1201
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Country | US
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Telephone | 805-300-6076
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Fax |
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Provider Business Mailing Address
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Address Line | 12400 VENTURA BLVD STE 690
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City | STUDIO CITY
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State | CA
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Zip | 91604-2406
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Country | US
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Telephone | 805-300-6076
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMIR TUMA
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Credential |
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Telephone | 805-300-6076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D0957900
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License Number State | CA
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