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General NPI Number Information
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NPI Number | 1477721355
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Entity Type | Organization
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Legal Business Name | PURSHOTAM B. KATARIA, INC
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 112 W GRAND BLVD
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City | CORONA
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State | CA
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Zip | 92882-2006
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Country | US
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Telephone | 951-735-6000
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Fax | 951-735-6960
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Provider Business Mailing Address
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Address Line | 112 W GRAND BLVD
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City | CORONA
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State | CA
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Zip | 92882-2006
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Country | US
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Telephone | 951-735-6000
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Fax | 951-735-6960
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PURSHOTAM B KATARIA
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Credential | M.D.
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Telephone | 951-735-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A43456
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License Number State | CA
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