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General NPI Number Information
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NPI Number | 1164464780
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Entity Type | Individual
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Provider Name | VICTORIA LYNN SZATALOWICZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 E HARDY ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-4011
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Country | US
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Telephone | 310-419-8636
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Fax | 310-963-0403
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Provider Business Mailing Address
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Address Line | P.O. BOX 622
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City | CULVER CITY
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State | CA
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Zip | 90232-0622
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Country | US
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Telephone | 310-419-8693
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Fax | 310-836-0592
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C39183
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License Number State | CA
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