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General NPI Number Information
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NPI Number | 1932254034
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Entity Type | Organization
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Legal Business Name | UNGAB MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 502 EUCLID AVE SUITE 304
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2931
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Country | US
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Telephone | 619-475-8630
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Fax | 619-475-8783
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Provider Business Mailing Address
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Address Line | 502 EUCLID AVE SUITE 304
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2931
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Country | US
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Telephone | 619-475-8630
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Fax | 619-475-8783
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GILANTHONY D UNGAB
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Credential | M.D.
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Telephone | 619-475-8630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A065734
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A065734
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License Number State | CA
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