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General NPI Number Information
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NPI Number | 1295730604
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Entity Type | Organization
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Legal Business Name | MEHMET C PEKEROL MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 9201 W SUNSET BLVD STE 616
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3701
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Country | US
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Telephone | 310-858-0880
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Fax | 310-858-0885
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Provider Business Mailing Address
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Address Line | 9201 W SUNSET BLVD STE 616
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3701
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Country | US
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Telephone | 310-858-0880
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Fax | 310-858-0885
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MEHMET C PEKEROL
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Credential | M.D.
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Telephone | 310-858-0880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A51117
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License Number State | CA
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