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General NPI Number Information
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NPI Number | 1295101590
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Entity Type | Organization
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Legal Business Name | PETER MENDELSOHN M D INC
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 120 S SPALDING DR SUITE 315
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1800
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Country | US
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Telephone | 310-560-8806
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Fax | 323-296-8673
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Provider Business Mailing Address
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Address Line | 5456 VALLEY RIDGE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2231
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Country | US
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Telephone | 323-296-8671
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Fax | 323-296-8673
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER MENDELSOHN
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Credential | M.D.
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Telephone | 310-560-8806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G65308
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G65308
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License Number State | CA
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