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General NPI Number Information
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NPI Number | 1972777043
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH OF THE DESERT A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 1100 N PALM CANYON DR STE 205
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4426
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Country | US
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Telephone | 760-323-4296
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Fax | 760-320-9445
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Provider Business Mailing Address
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Address Line | 1100 N PALM CANYON DR STE 205
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4426
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Country | US
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Telephone | 760-323-4296
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Fax | 760-320-9445
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | GHALEB S SAABBAH
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Credential | M.D.
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Telephone | 760-323-4296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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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 | C51805
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License Number State | CA
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