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General NPI Number Information
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NPI Number | 1487716601
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Entity Type | Individual
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Provider Name | CARRIE ANNE LOVINA ABDUL-MALIK P.T.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 9353 IMPERIAL HWY 3RD FLOOR
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City | DOWNEY
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State | CA
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Zip | 90242-2812
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Country | US
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Telephone | 562-657-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 9353 IMPERIAL HWY 3RD FLOOR
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City | DOWNEY
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State | CA
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Zip | 90242-2812
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 33246
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License Number State | CA
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