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General NPI Number Information
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NPI Number | 1043184666
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Entity Type | Organization
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Legal Business Name | MEDI SOOTHE LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3330 HARBOR BLVD OFFICE 308
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City | COSTA MESA
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State | CA
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Zip | 92626
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Country | US
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Telephone | 312-523-3848
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Fax |
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Provider Business Mailing Address
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Address Line | 2945 TOWNSGATE RD STE 200
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5866
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Country | US
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Telephone | 312-523-3848
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABDUL NASER BIN ABDUL RAHMAN
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Credential |
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Telephone | 312-523-3848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QL0901X
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Taxonomy Name | Diplomate Laboratory Management Specialist/Technologist
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License Number |
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License Number State |
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