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General NPI Number Information
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NPI Number | 1083241988
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Entity Type | Organization
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Legal Business Name | REZOLVE TELEMED
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 8275 KIRKWOOD DR
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City | LOS ANGELES
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State | CA
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Zip | 90046-1923
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Country | US
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Telephone | 857-210-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 8275 KIRKWOOD DR
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City | LOS ANGELES
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State | CA
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Zip | 90046-1923
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Country | US
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Telephone | 857-210-3635
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER AND CMO
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Name | CHRISTOPHER LEE TAICHER
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Credential | MD
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Telephone | 857-210-3635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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