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General NPI Number Information
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NPI Number | 1245805423
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Entity Type | Organization
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Legal Business Name | TESTING MD PC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 113 N SAN VICENTE BLVD STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2325
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Country | US
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Telephone | 310-710-4666
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Fax |
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Provider Business Mailing Address
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Address Line | 113 N SAN VICENTE BLVD STE 300
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2326
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Country | US
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Telephone | 310-710-4666
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABRAHAM MALKIN
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Credential | MD
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Telephone | 323-333-9634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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