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General NPI Number Information
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NPI Number | 1245492354
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Entity Type | Organization
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Legal Business Name | LENNOX MEDICAL CENTER INC
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 11117 S INGLEWOOD AVE SUITE 404C
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City | LENNOX
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State | CA
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Zip | 90304-2514
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Country | US
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Telephone | 310-412-5950
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Fax | 310-412-8051
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Provider Business Mailing Address
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Address Line | 11117 S INGLEWOOD AVE SUITE 404C
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City | LENNOX
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State | CA
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Zip | 90304-2514
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Country | US
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Telephone | 310-412-5950
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Fax | 310-412-8051
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JACOB EDEM
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Credential |
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Telephone | 213-479-5324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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