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General NPI Number Information
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NPI Number | 1275677486
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Entity Type | Individual
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Provider Name | LAWRENCE DAVID PLATT M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-5426
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Country | US
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Telephone | 323-857-1069
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 GLENVILLE DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-3107
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Country | US
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Telephone | 310-557-1151
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | G31535
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License Number State | CA
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