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General NPI Number Information
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NPI Number | 1174718225
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Entity Type | Organization
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Legal Business Name | MAGDY SARIELDIN
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 1111 W COVINA BLVD STE 100
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City | SAN DIMAS
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State | CA
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Zip | 91773-3205
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Country | US
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Telephone | 909-599-0774
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Fax | 909-599-8169
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Provider Business Mailing Address
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Address Line | 1111 W. COVINA BLVD #100
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 909-599-0774
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Fax | 909-599-8169
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. MAGDY S. SARIELDIN
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Credential | RPT.
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Telephone | 909-599-0774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7811
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License Number State | CA
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