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General NPI Number Information
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NPI Number | 1902673726
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Entity Type | Organization
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Legal Business Name | IMAD AKEL MD INC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 7950 CHERRY AVE STE 105
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City | FONTANA
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State | CA
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Zip | 92336-4023
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Country | US
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Telephone | 909-434-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 6835 NEVADA CT
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-7597
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Country | US
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Telephone | 832-518-6706
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. IMAD AKEL
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Credential | MD
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Telephone | 832-518-6706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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