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General NPI Number Information
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NPI Number | 1093690117
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Entity Type | Organization
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Legal Business Name | HOLLYWOOD MEDICAL CENTER
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 5101 SANTA MONICA BLVD STE 4
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City | LOS ANGELES
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State | CA
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Zip | 90029-2478
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Country | US
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Telephone | 323-705-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 SANTA MONICA BLVD STE 4
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City | LOS ANGELES
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State | CA
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Zip | 90029-2478
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Country | US
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Telephone | 323-705-5552
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Fax |
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Authorized Official
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Title or Position | CEO, CFO, SECRETARY
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Name | DR. NOLAN CARTHELL JONES
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Credential | MD
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Telephone | 424-644-5718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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