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General NPI Number Information
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NPI Number | 1285690321
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Entity Type | Individual
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Provider Name | REBECCA LOUIS FITZGERALD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 321 N LARCHMONT BLVD SUITE 906
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City | LOS ANGELES
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State | CA
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Zip | 90004-3025
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Country | US
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Telephone | 323-464-8046
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Fax | 323-464-1832
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Provider Business Mailing Address
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Address Line | PO BOX 2866
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City | TORRANCE
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State | CA
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Zip | 90509-2866
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Country | US
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Telephone | 310-792-0601
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Fax | 310-792-9062
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A49000
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | A49000
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License Number State | CA
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