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General NPI Number Information
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NPI Number | 1285279695
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Entity Type | Organization
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Legal Business Name | WEST REGIONAL PHYSICIANS NETWORK, INC.
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 3444 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023
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Country | US
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Telephone | 323-604-9668
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Fax | 818-446-1510
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Provider Business Mailing Address
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Address Line | 3444 WHITTIER BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90023
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Country | US
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Telephone | 323-604-9666
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Fax | 818-446-1510
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Authorized Official
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Title or Position | CEO
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Name | HANY MALEK
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Credential |
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Telephone | 818-577-9082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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