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General NPI Number Information
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NPI Number | 1780756825
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Entity Type | Organization
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Legal Business Name | TBITTAR INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 25751 MCBEAN PKWY SUITE 200
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City | VALENCIA
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State | CA
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Zip | 91355-3701
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Country | US
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Telephone | 661-253-3399
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Fax | 661-253-3999
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Provider Business Mailing Address
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Address Line | 25751 MCBEAN PKWY SUITE 200
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City | VALENCIA
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State | CA
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Zip | 91355-3701
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Country | US
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Telephone | 661-253-3399
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Fax | 661-253-3999
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAREK BITTAR
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Credential | MD
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Telephone | 661-253-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A71373
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License Number State | CA
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