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General NPI Number Information
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NPI Number | 1487609459
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Entity Type | Organization
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Legal Business Name | DAVID KATTAN MD A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 5549 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90019-3919
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Country | US
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Telephone | 323-936-7279
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Fax | 323-936-0461
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Provider Business Mailing Address
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Address Line | 5549 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90019-3919
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Country | US
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Telephone | 323-936-7279
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Fax | 323-936-0461
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID KATTAN
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Credential | M.D.
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Telephone | 323-936-7279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G69002
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License Number State | CA
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