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General NPI Number Information
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NPI Number | 1780625376
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Entity Type | Individual
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Provider Name | DINA IBRAHIM M.D
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 6121 N THESTA ST STE 204
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City | FRESNO
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State | CA
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Zip | 93710-5294
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Country | US
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Telephone | 559-554-2100
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Fax | 559-554-2114
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Provider Business Mailing Address
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Address Line | 7065 N. MAPLE AVE STE 102
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City | FRESNO
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State | CA
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Zip | 93720
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Country | US
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Telephone | 559-554-2100
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Fax | 559-554-2114
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | C51181
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License Number State | CA
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