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General NPI Number Information
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NPI Number | 1750918983
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Entity Type | Individual
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Provider Name | CATRINE IBRAHIM SOUS MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2995 RED HILL AVE STE 200
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City | COSTA MESA
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State | CA
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Zip | 92626-5984
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Country | US
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Telephone | 949-581-9158
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Fax | 949-581-9158
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Provider Business Mailing Address
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Address Line | 2995 RED HILL AVE STE 200
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City | COSTA MESA
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State | CA
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Zip | 92626-5984
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Country | US
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Telephone | 949-829-5533
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Fax | 949-581-9158
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.151688
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 202428
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License Number State | CA
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