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General NPI Number Information
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NPI Number | 1083930259
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Entity Type | Organization
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Legal Business Name | LERNER MEDICAL DEVICES, INC.
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 1545 SAWTELLE BLVD STE 36
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City | LOS ANGELES
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State | CA
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Zip | 90025-3272
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Country | US
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Telephone | 310-914-0091
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Fax | 310-914-0095
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Provider Business Mailing Address
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Address Line | 1545 SAWTELLE BLVD STE 36
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City | LOS ANGELES
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State | CA
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Zip | 90025-3272
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Country | US
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Telephone | 310-914-0091
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Fax | 310-914-0095
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Authorized Official
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Title or Position | CHIEF SCIENCE OFFICER
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Name | ZAFIRIOS GOURGOULIATOS
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Credential | PH.D.
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Telephone | 310-914-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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