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General NPI Number Information
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NPI Number | 1255471959
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Entity Type | Organization
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Legal Business Name | ANGELITA S BEREDO MD INC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 N PRAIRIE AVE SUITE 301
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City | INGLEWOOD
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State | CA
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Zip | 90301-4507
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Country | US
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Telephone | 310-671-2699
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Fax | 310-671-6541
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Provider Business Mailing Address
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Address Line | 4220 MICHELLE DR
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City | TORRANCE
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State | CA
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Zip | 90503-2413
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Country | US
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Telephone | 310-671-2699
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Fax | 310-671-6541
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGELITA S BEREDO
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Credential | MD
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Telephone | 310-671-2699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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