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General NPI Number Information
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NPI Number | 1932828589
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Entity Type | Organization
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Legal Business Name | ALWAHAB MD INC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 250 E CHASE AVE STE 110
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City | EL CAJON
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State | CA
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Zip | 92020-6305
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Country | US
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Telephone | 619-499-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E CHASE AVE STE 110
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City | EL CAJON
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State | CA
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Zip | 92020-6305
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Country | US
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Telephone | 619-499-5006
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | AREEJ ALWAHAB
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Credential | MD
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Telephone | 858-717-1757
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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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