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General NPI Number Information
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NPI Number | 1801228440
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Entity Type | Organization
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Legal Business Name | PRINCESS OBSTETRICS AND GYNECOLOGY, APC
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 11525 BROOKSHIRE AVE STE 301 #301
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City | DOWNEY
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State | CA
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Zip | 90241-4982
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Country | US
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Telephone | 562-923-1112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 252125
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City | LOS ANGELES
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State | CA
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Zip | 90025-8977
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Country | US
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Telephone | 562-923-1112
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Fax | 562-923-1118
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Authorized Official
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Title or Position | PRESIDENT/MED DIRECTOR
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Name | MR. ARIEL E. ABRAHAMS
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Credential | M.D.
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Telephone | 562-923-1112
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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 |
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License Number State | CA
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