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General NPI Number Information
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NPI Number | 1073665980
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Entity Type | Organization
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Legal Business Name | JOSEPH H. SUGERMAN, M.D., INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 435 N BEDFORD DR SUITE 203
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4321
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Country | US
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Telephone | 310-274-6005
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Fax | 310-274-3570
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Provider Business Mailing Address
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Address Line | 435 N BEDFORD DR SUITE 203
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4321
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Country | US
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Telephone | 310-274-6005
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Fax | 310-274-3570
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JOSEPH HARRY SUGERMAN
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Credential | M.D.
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Telephone | 310-274-6005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | W4597
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License Number State | CA
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