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General NPI Number Information
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NPI Number | 1992863013
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Entity Type | Organization
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Legal Business Name | MOBIN MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 8929 WILSHIRE BLVD SUITE 415
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1953
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Country | US
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Telephone | 310-829-5888
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Fax | 310-943-2636
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Provider Business Mailing Address
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Address Line | PO BOX 24816
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City | LOS ANGELES
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State | CA
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Zip | 90024-0816
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Country | US
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Telephone | 310-829-5888
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Fax | 310-943-2636
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MS. MILBET SIERRA
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Credential |
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Telephone | 310-829-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A61426
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License Number State | CA
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