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General NPI Number Information
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NPI Number | 1972772655
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Entity Type | Organization
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Legal Business Name | BAMBI L NICKELBERRY MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 248 N LOCUST ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1258
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Country | US
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Telephone | 310-673-3737
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Fax | 310-673-0248
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Provider Business Mailing Address
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Address Line | 248 N LOCUST ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1258
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Country | US
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Telephone | 310-673-3737
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Fax | 310-673-0248
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. BAMBI LYNN NICKELBERRY
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Credential | M.D.
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Telephone | 310-673-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | G466791
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License Number State | CA
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