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General NPI Number Information
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NPI Number | 1144026410
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Entity Type | Organization
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Legal Business Name | MIRROR HEALTH SPECIALISTS
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 5750 DOWNEY AVE STE 303
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City | LAKEWOOD
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State | CA
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Zip | 90712-1477
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Country | US
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Telephone | 657-708-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 DOWNEY AVE STE 303
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City | LAKEWOOD
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State | CA
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Zip | 90712-1477
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Country | US
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Telephone | 657-708-0074
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Fax |
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Authorized Official
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Title or Position | FOUNDER, MEDICAL DIRECTOR
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Name | GERALD ANTHONY COX II
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Credential | MD, MPH
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Telephone | 657-708-0074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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