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General NPI Number Information
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NPI Number | 1942233671
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Entity Type | Individual
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Provider Name | PEARL P D'SA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 407 W IMPERIAL HWY # H-171
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City | BREA
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State | CA
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Zip | 92821-4832
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Country | US
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Telephone | 562-365-3540
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Fax | 562-365-3532
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Provider Business Mailing Address
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Address Line | 9950 JUANITA ST APT 99
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City | CYPRESS
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State | CA
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Zip | 90630-4077
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Country | US
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Telephone | 714-761-1142
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07975100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A93532
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License Number State | CA
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