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General NPI Number Information
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NPI Number | 1992998314
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Entity Type | Organization
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Legal Business Name | SABRI E. SEN MD INC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 3903 LONE TREE WAY SUITE: 310
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City | ANTIOCH
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State | CA
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Zip | 94509-6249
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Country | US
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Telephone | 612-812-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 LONE TREE WAY SUITE: 310
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City | ANTIOCH
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State | CA
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Zip | 94509-6249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. SABRI ENGIN SEN
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Credential |
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Telephone | 612-812-4431
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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 |
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License Number State |
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