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General NPI Number Information
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NPI Number | 1003990284
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Entity Type | Organization
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Legal Business Name | GEORGE FOULADIAN, M.D. MEDICAL GROUP
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 5901 W OLYMPIC BLVD SUITE 307
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City | LOS ANGELES
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State | CA
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Zip | 90036-4667
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Country | US
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Telephone | 323-931-2020
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Fax | 323-931-2121
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Provider Business Mailing Address
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Address Line | 5901 W OLYMPIC BLVD SUITE 307
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City | LOS ANGELES
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State | CA
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Zip | 90036-4667
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Country | US
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Telephone | 323-931-2020
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Fax | 323-931-2121
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE FOULADIAN
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Credential | M.D.
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Telephone | 323-931-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A41170
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License Number State | CA
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