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General NPI Number Information
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NPI Number | 1043416415
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Entity Type | Organization
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Legal Business Name | SHABNAM SADIGH P.T.INC
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST 940 E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 323-304-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 8631 W 3RD ST 940 E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 323-304-2120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHABNAM SADIGH
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Credential |
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Telephone | 323-304-2120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT11700
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License Number State | CA
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