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General NPI Number Information
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NPI Number | 1003829060
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Entity Type | Organization
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Legal Business Name | DRANGE HALLMAN MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1146 LAVENDER LN
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City | LA CANADA
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State | CA
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Zip | 91011-2339
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Country | US
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Telephone | 626-795-2663
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Fax | 973-425-5657
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Provider Business Mailing Address
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Address Line | 2029 VERDUGO BLVD # 781
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City | MONTROSE
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State | CA
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Zip | 91020-1626
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Country | US
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Telephone | 626-795-2663
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Fax | 973-425-5657
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Authorized Official
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Title or Position | CFO/DIRECTOR
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Name | DR. MARLYS DRANGE
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Credential | MD,PHD
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Telephone | 626-795-2663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A54654
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License Number State | CA
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