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General NPI Number Information
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NPI Number | 1235422031
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Entity Type | Organization
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Legal Business Name | EDWARD CHRISTOPHER KOLPIN DO INC
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 14350 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90605-2138
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Country | US
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Telephone | 559-325-3040
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Fax | 310-626-9604
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Provider Business Mailing Address
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Address Line | PO BOX 7158
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City | SANTA MONICA
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State | CA
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Zip | 90406-7158
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Country | US
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Telephone | 559-325-3040
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Fax | 310-626-9604
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD CHRISTOPHER KOLPIN
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Credential | D.O.
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Telephone | 559-325-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 20A7423
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License Number State | CA
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