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General NPI Number Information
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NPI Number | 1063716751
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Entity Type | Organization
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Legal Business Name | RASHEL J TAHZIB DO INC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 11633 SAN VICENTE BLVD SUITE 107
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City | LOS ANGELES
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State | CA
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Zip | 90049-6511
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Country | US
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Telephone | 310-979-3434
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Fax | 310-979-9992
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Provider Business Mailing Address
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Address Line | 11633 SAN VICENTE BLVD SUITE 107
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City | LOS ANGELES
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State | CA
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Zip | 90049-0000
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Country | US
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Telephone | 310-979-3434
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Fax | 310-979-9992
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RASHEL J TAHZIB
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Credential | D.O.
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Telephone | 310-979-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A9090
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License Number State | CA
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