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General NPI Number Information
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NPI Number | 1043894264
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Entity Type | Organization
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Legal Business Name | WEST COAST TELEMED LLC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 15260 VENTURA BLVD STE 120
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5307
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Country | US
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Telephone | 818-477-2420
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Fax | 747-216-1020
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Provider Business Mailing Address
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Address Line | 9134 SEPULVEDA BLVD STE 2215
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City | NORTH HILLS
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State | CA
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Zip | 91343-3921
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Country | US
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Telephone | 818-477-2420
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Fax | 747-216-1020
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Authorized Official
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Title or Position | CFO
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Name | ROCKY BERNSTEIN
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Credential |
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Telephone | 818-477-2420
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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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