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General NPI Number Information
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NPI Number | 1508534488
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Entity Type | Organization
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Legal Business Name | MAGIC TOUCH PEDIATRIC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 7325 MEDICAL CENTER DR STE 302
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City | WEST HILLS
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State | CA
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Zip | 91307-4118
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Country | US
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Telephone | 818-633-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 MEDICAL CENTER DR STE 302
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City | WEST HILLS
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State | CA
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Zip | 91307-4118
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Country | US
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Telephone | 818-633-1043
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAY ASKARI
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Credential |
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Telephone | 818-633-1043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080I0007X
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Taxonomy Name | Pediatric Clinical & Laboratory Immunology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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