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General NPI Number Information
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NPI Number | 1235349671
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Entity Type | Individual
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Provider Name | JUDY C MADDOX DO
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD CEDARS-SINAI MEDICAL CENTER
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 310-423-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 3661 EL ENCANTO DR
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City | CALABASAS
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State | CA
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Zip | 91302-2993
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Country | US
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Telephone | 818-871-0578
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Fax |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 20A9166
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License Number State | CA
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