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General NPI Number Information
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NPI Number | 1205096476
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Entity Type | Organization
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Legal Business Name | JONATHAN REITMAN M.D., INC.
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 8484 WILSHIRE BLVD SUITE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3227
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Country | US
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Telephone | 310-360-7690
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Fax | 310-360-7694
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Provider Business Mailing Address
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Address Line | 8484 WILSHIRE BLVD SUITE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3227
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Country | US
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Telephone | 310-360-7690
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Fax | 310-360-7694
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Authorized Official
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Title or Position | CEO
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Name | DR. JONATHAN E REITMAN
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Credential | M.D.
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Telephone | 310-360-7690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A66975
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License Number State | CA
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