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General NPI Number Information
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NPI Number | 1194952812
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Entity Type | Organization
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Legal Business Name | HEALTHY FUTURE SERVICES INC
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Dates
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Enumeration Date | 06/20/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 1818 S WESTERN AVE SUITE 305
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City | LOS ANGELES
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State | CA
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Zip | 90006-5807
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Country | US
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Telephone | 213-255-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 7119 W SUNSET BLVD SUITE 234
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City | LOS ANGELES
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State | CA
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Zip | 90046-4411
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Country | US
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Telephone | 213-255-8718
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Fax | 213-402-3688
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL NADIR
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Credential | M.D.
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Telephone | 213-255-8718
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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 | A75721
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License Number State | CA
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