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General NPI Number Information
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NPI Number | 1316678162
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Entity Type | Organization
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Legal Business Name | KATAYOUN ABTIN DPM A PROFESSIONAL CORP
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 1726 S BENTLEY AVE APT 302
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City | LOS ANGELES
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State | CA
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Zip | 90025-4343
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Country | US
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Telephone | 818-414-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1726 S BENTLEY AVE APT 302
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City | LOS ANGELES
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State | CA
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Zip | 90025-4343
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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 | OWNER
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Name | KATAYOUN ABTIN
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Credential | DPM
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Telephone | 310-739-7797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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