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Individual
AHMED AWAD QASIM
Active
Individual
AHMED AWAD QASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
331881116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331881116
CDSS
CA
Enumeration date
03/01/2021
Last updated
03/16/2021
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