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General NPI Number Information
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NPI Number | 1194955856
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Entity Type | Organization
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Legal Business Name | FADI J. KATTAR DDS, INC.
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 315 N ALMANSOR ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-2622
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Country | US
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Telephone | 626-289-9553
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N ALMANSOR ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-2622
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Country | US
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Telephone | 626-289-9553
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. FADI KATTAR
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Credential | DDS
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Telephone | 626-289-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 51085
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License Number State | CA
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