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General NPI Number Information
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NPI Number | 1376294116
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Entity Type | Individual
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Provider Name | JOVI MUHAMMAD BEY CMT
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Gender | Male
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 931 MARTELO AVE
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City | PASADENA
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State | CA
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Zip | 91107
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Country | US
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Telephone | 213-732-9435
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Fax |
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Provider Business Mailing Address
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Address Line | 2160 RAYMOND AVE APT 4
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City | ALTADENA
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State | CA
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Zip | 91001-5705
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Country | US
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Telephone | 213-732-9435
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 80352
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License Number State | CA
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