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General NPI Number Information
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NPI Number | 1326409137
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Entity Type | Organization
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Legal Business Name | MOHAMED Z KATTIH INC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 130 W ROUTE 66 SUITE 328
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City | GLENDORA
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State | CA
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Zip | 91740-6249
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Country | US
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Telephone | 626-914-4300
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Fax | 626-914-4306
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Provider Business Mailing Address
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Address Line | 130 W ROUTE 66 SUITE 328
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City | GLENDORA
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State | CA
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Zip | 91740-6249
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Country | US
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Telephone | 626-914-4300
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Fax | 626-914-4306
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MOHAMED ZIYAD KATTIH
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Credential | M.D.,
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Telephone | 626-914-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | A81609
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License Number State | CA
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