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General NPI Number Information
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NPI Number | 1194050054
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Entity Type | Organization
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Legal Business Name | CASITAS DIAGNOSTICS INC
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Dates
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Enumeration Date | 10/10/2009
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Last Update Date | 10/10/2009
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Provider Practice Location Address
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Address Line | 3249 CASITAS AVE STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90039-2205
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Country | US
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Telephone | 323-544-1415
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Fax | 323-843-9262
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Provider Business Mailing Address
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Address Line | 3249 CASITAS AVE STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90039-2205
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Country | US
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Telephone | 323-544-1415
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Fax | 323-843-9262
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Authorized Official
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Title or Position | PRESIDENT
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Name | BILAL R KAAKI
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Credential | M.D.
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Telephone | 323-544-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A89191
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License Number State | CA
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