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General NPI Number Information
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NPI Number | 1174691042
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Entity Type | Individual
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Provider Name | DAVID BRUCE LANDERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3364 E SLAUSON AVE TECHNIMED
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City | LOS ANGELES
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State | CA
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Zip | 90058-3915
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Country | US
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Telephone | 323-585-7242
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Fax | 323-584-0059
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Provider Business Mailing Address
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Address Line | 3364 E SLAUSON AVE TECHNIMED
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City | LOS ANGELES
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State | CA
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Zip | 90058-3915
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Country | US
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Telephone | 323-585-7242
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Fax | 323-584-0059
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | A26343
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License Number State | CA
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