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General NPI Number Information
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NPI Number | 1215265095
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Entity Type | Organization
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Legal Business Name | GREGORY J. SZAL, M.D., INC.
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Dates
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Enumeration Date | 12/06/2009
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Last Update Date | 12/06/2009
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Provider Practice Location Address
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Address Line | 16415 COLORADO AVE SUITE 408
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City | PARAMOUNT
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State | CA
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Zip | 90723-5083
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Country | US
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Telephone | 562-531-9423
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Fax |
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Provider Business Mailing Address
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Address Line | 16415 COLORADO AVE SUITE 408
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City | PARAMOUNT
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State | CA
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Zip | 90723-5083
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Country | US
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Telephone | 562-531-9423
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY JOHN SZAL
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Credential | M.D.
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Telephone | 562-531-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | C34046
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License Number State | CA
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