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General NPI Number Information
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NPI Number | 1083013668
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Entity Type | Organization
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Legal Business Name | BORIS GELMAN MD, INC.
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 3711 LONG BEACH BLVD SUITE 905
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City | LONG BEACH
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State | CA
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Zip | 90807-3315
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Country | US
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Telephone | 310-469-5111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-0282
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Country | US
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Telephone | 310-469-5111
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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. BORIS GELMAN
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Credential | M.D.
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Telephone | 310-469-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A95740
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License Number State | CA
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