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General NPI Number Information
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NPI Number | 1053655316
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Entity Type | Organization
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Legal Business Name | EDUCATIONAL MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 22631 PACIFIC COAST HWY #310
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City | MALIBU
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State | CA
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Zip | 90265-5036
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Country | US
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Telephone | 310-704-2402
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Fax | 310-919-3080
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Provider Business Mailing Address
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Address Line | 22631 PACIFIC COAST HWY #310
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City | MALIBU
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State | CA
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Zip | 90265-5036
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Country | US
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Telephone | 310-704-2402
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Fax | 310-919-3080
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RONALD FLORJANCIC
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Credential |
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Telephone | 310-704-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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