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General NPI Number Information
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NPI Number | 1699219139
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Entity Type | Organization
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Legal Business Name | SATMAH MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 18321 CLARK ST
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City | TARZANA
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State | CA
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Zip | 91356-3501
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Country | US
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Telephone | 818-395-6508
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 ERIN WAY
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City | GLENDALE
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State | CA
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Zip | 91206-1016
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Country | US
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Telephone | 818-395-6508
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAFI SATMAH
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Credential | M.D.
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Telephone | 818-395-6508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A114080
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License Number State | CA
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