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General NPI Number Information
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NPI Number | 1174517890
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Entity Type | Organization
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Legal Business Name | BIERMAN CENTURY CITY DERM
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1008
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-553-3567
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Fax | 310-553-4538
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 1008
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-553-3567
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Fax | 310-553-4538
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STANLEY MELVIN BIERMAN
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Credential | MD
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Telephone | 310-553-3567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A19760
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License Number State | CA
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