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General NPI Number Information
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NPI Number | 1083477970
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Entity Type | Organization
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Legal Business Name | ATIYA CARE LLC
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 25255 CABOT RD STE 221
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5529
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Country | US
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Telephone | 949-259-0989
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Fax |
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Provider Business Mailing Address
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Address Line | 25255 CABOT RD STE 221
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5529
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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 | CEO
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Name | MR. SAMI BEYDOUN
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Credential | MBA
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Telephone | 949-259-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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