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General NPI Number Information
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NPI Number | 1881417988
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Entity Type | Organization
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Legal Business Name | VICTOR KABBANY MD INC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4281 KATELLA AVE STE 111
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3588
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Country | US
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Telephone | 562-554-5430
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Fax | 562-800-4049
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Provider Business Mailing Address
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Address Line | 4281 KATELLA AVE STE 111
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3588
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Country | US
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Telephone | 562-554-5430
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Fax | 562-800-4049
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR JOSEPH KABBANY
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Credential |
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Telephone | 562-596-1667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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