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General NPI Number Information
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NPI Number | 1780621268
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Entity Type | Individual
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Provider Name | SAMI S ZAMZAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 898 N PACIFIC COAST HWY STE 600
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City | EL SEGUNDO
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State | CA
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Zip | 90245-2747
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Country | US
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Telephone | 310-698-5254
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 MELA VIA CT NE
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City | ADA
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State | MI
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Zip | 49301-8169
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Country | US
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Telephone | 775-287-7174
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301072778
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 10242
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C196713
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License Number State | CA
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