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General NPI Number Information
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NPI Number | 1770589293
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Entity Type | Individual
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Provider Name | RAED A AL-NASER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 5525 GROSSMONT CENTER DR STE 609
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City | LA MESA
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State | CA
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Zip | 91942-3009
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Country | US
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Telephone | 619-589-9158
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Fax | 619-462-0371
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Provider Business Mailing Address
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Address Line | PO BOX 2535
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City | LA MESA
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State | CA
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Zip | 91943-2535
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Country | US
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Telephone | 888-664-8297
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Fax | 866-313-8916
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A71932
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A71932
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A71932
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License Number State | CA
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