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General NPI Number Information
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NPI Number | 1336775303
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Entity Type | Organization
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Legal Business Name | EHSAN SAADAT MD INC
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 04/05/2020
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Provider Practice Location Address
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Address Line | 444 S SAN VICENTE BLVD STE 901
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City | LOS ANGELES
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State | CA
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Zip | 90048-4174
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Country | US
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Telephone | 310-849-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 865 COMSTOCK AVE APT 9D
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City | LOS ANGELES
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State | CA
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Zip | 90024-2583
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Country | US
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Telephone | 310-849-4412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EHSAN SAADAT
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Credential | MD
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Telephone | 310-849-4412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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