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General NPI Number Information
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NPI Number | 1174765887
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Entity Type | Organization
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Legal Business Name | MICHAEL F PRESS M D PH D INC
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 1640 MARENGO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-1036
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Country | US
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Telephone | 310-766-0563
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Fax | 310-376-8620
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Provider Business Mailing Address
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Address Line | 2118 MARSHALLFIELD LANE #A
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City | REDONDO BEACH
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State | CA
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Zip | 90278-4906
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Country | US
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Telephone | 310-766-0563
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Fax | 310-376-8620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL F PRESS
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Credential | MD, PHD
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Telephone | 310-766-0563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | G63073
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License Number State | CA
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