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General NPI Number Information
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NPI Number | 1932344058
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Entity Type | Individual
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Provider Name | HUSAM ALSAMMAN M.D., F.C.C.P.
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Gender | Male
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 3943 IRVINE BLVD # 35
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City | IRVINE
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State | CA
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Zip | 92602-2400
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Country | US
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Telephone | 949-468-0849
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Fax | 810-222-6854
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Provider Business Mailing Address
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Address Line | 3943 IRVINE BLVD # 35
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City | IRVINE
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State | CA
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Zip | 92602-2400
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Country | US
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Telephone | 949-468-0849
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Fax | 810-222-6854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A054216
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 65557
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License Number State | OH
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