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General NPI Number Information
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NPI Number | 1760331060
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Entity Type | Organization
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Legal Business Name | AVICENNA CHILDREN INSTITUTE
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 3281 E GUASTI RD # 712
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City | ONTARIO
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State | CA
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Zip | 91761-7622
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Country | US
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Telephone | 201-888-8330
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Fax |
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Provider Business Mailing Address
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Address Line | 3281 E GUASTI RD # 712
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City | ONTARIO
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State | CA
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Zip | 91761-7622
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Country | US
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Telephone | 201-888-8330
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. HIBA ELZUKAIMI
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Credential |
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Telephone | 201-888-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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