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General NPI Number Information
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NPI Number | 1033498779
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Entity Type | Organization
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Legal Business Name | MAXIMUM CARE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD SUITE 306
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1715
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Country | US
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Telephone | 818-426-0886
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 VAN NUYS BLVD SUITE 306
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1715
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Country | US
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Telephone | 818-426-0886
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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. ALEXANDER SOROKURS
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Credential | M.D.
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Telephone | 818-426-0886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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