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General NPI Number Information
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NPI Number | 1548933898
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Entity Type | Organization
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Legal Business Name | ADIB H BITAR MD,INC.
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 09/30/2023
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Provider Practice Location Address
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Address Line | 1161 E COVINA BLVD
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City | COVINA
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State | CA
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Zip | 91724-1523
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Country | US
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Telephone | 626-859-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 VIEWCREST DR
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City | BURBANK
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State | CA
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Zip | 91504-1860
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Country | US
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Telephone | 818-522-2246
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADIB HUSNI BITAR
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Credential | MD
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Telephone | 626-966-1632
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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 |
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License Number State |
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