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General NPI Number Information
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NPI Number | 1093875767
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Entity Type | Organization
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Legal Business Name | HEALTH WEST MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14417 BURBANK BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-4824
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Country | US
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Telephone | 818-786-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 5632 VAN NUYS BLVD #113
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-4602
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Country | US
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Telephone | 818-786-3318
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | ALAN H SEPLOW
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Credential |
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Telephone | 818-786-3318
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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 | G41041
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License Number State | CA
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