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General NPI Number Information
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NPI Number | 1205933058
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Entity Type | Individual
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Provider Name | JULIA SVERDLOVA M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8920 WILSHIRE BLVD STE 414
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2004
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Country | US
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Telephone | 310-289-1215
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Fax | 310-285-9762
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Provider Business Mailing Address
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Address Line | 1411 TOWER GROVE DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-2139
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Country | US
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Telephone | 310-654-0900
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Fax | 310-285-9762
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A063261
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License Number State | CA
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