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General NPI Number Information
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NPI Number | 1962482083
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Entity Type | Individual
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Provider Name | MOSES SALIBIAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 574 PALM DR
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City | GLENDALE
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State | CA
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Zip | 91202-2827
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Country | US
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Telephone | 818-292-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 10646 W STALLION RANCH RD
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City | SHADOW HILLS
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State | CA
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Zip | 91040-1385
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Country | US
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Telephone | 818-292-2333
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A75971
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License Number State | CA
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