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General NPI Number Information
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NPI Number | 1740071877
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Entity Type | Organization
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Legal Business Name | ROY NATTIV, MD INC.
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2110 FOX HILLS DR
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City | LOS ANGELES
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State | CA
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Zip | 90025-6005
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Country | US
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Telephone | 646-457-8618
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 FOX HILLS DR
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City | LOS ANGELES
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State | CA
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Zip | 90025-6005
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Country | US
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Telephone | 646-457-8618
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROY NATTIV
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Credential | MD
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Telephone | 646-457-8618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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