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NPI 1952325698

NPI 1952325698 : DARRELL ANTONIO WEBB D.O : ARCADIA, CA

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General NPI Number Information
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    NPI Number           |    1952325698
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    Entity Type          |    Individual 
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    Provider Name        |    DARRELL ANTONIO WEBB D.O
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    300 W HUNTINGTON DR 
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    City                 |    ARCADIA
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    State                |    CA
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    Zip                  |    91007-3402
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    Country              |    US
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    Telephone            |    626-445-4441
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    Fax                  |    626-821-6955
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Provider Business Mailing Address
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    Address Line         |    PO BOX 60790 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91116-6790
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    Country              |    US
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    Telephone            |    626-795-6596
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    Fax                  |    626-795-8247
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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       |    20A7333
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207LA0401X
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    Taxonomy Name        |    Addiction Medicine (Anesthesiology) Physician
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    License Number       |    5119
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    License Number State |    TN
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