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General NPI Number Information
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NPI Number | 1255629952
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Entity Type | Organization
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Legal Business Name | ALAMEDA INDUSTRIAL MEDICAL GROUP
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 1907 E WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90021-3206
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Country | US
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Telephone | 213-747-7667
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Fax | 213-747-9618
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Provider Business Mailing Address
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Address Line | 1907 E WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90021-3206
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Country | US
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Telephone | 213-747-7667
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Fax | 213-747-9618
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. STEVEN FLORMAN
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Credential | M.D.
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Telephone | 213-747-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 0000119744-0001-6
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | 0000119744-0001-6
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License Number State | CA
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