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General NPI Number Information
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NPI Number | 1407340763
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Entity Type | Individual
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Provider Name | AHMED ATTRAH RCFE ADMIN
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 507 S CITADELL LN
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City | ANAHEIM
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State | CA
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Zip | 92806-4204
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Country | US
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Telephone | 949-994-2900
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Fax | 949-608-0899
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Provider Business Mailing Address
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Address Line | 3272 AMETHYST ST
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City | CORONA
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State | CA
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Zip | 92882-5000
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Country | US
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Telephone | 949-994-2900
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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