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General NPI Number Information
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NPI Number | 1790440196
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Entity Type | Organization
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Legal Business Name | KABAFUSION, INC.
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 44 DOVER POINT RD UNIT M
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City | DOVER
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State | NH
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Zip | 03820-4670
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Country | US
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Telephone | 800-435-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 17777 CENTER COURT DR N STE 550
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City | CERRITOS
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State | CA
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Zip | 90703-9337
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Country | US
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Telephone | 800-435-3020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SOHAIL MASOOD
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Credential | PHARM. D.
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Telephone | 800-435-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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