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General NPI Number Information
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NPI Number | 1295789592
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Entity Type | Individual
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Provider Name | MICHAEL ROBERT LITTNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 16111 PLUMMER ST BUILDING 200, ROOM 3534
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City | SEPULVEDA
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State | CA
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Zip | 91343-2036
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Country | US
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Telephone | 818-895-9388
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Fax | 818-895-5816
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Provider Business Mailing Address
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Address Line | 10736 DES MOINES AVE
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City | PORTER RANCH
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State | CA
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Zip | 91326-2930
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Country | US
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Telephone | 818-515-0691
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A24139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A24139
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A24139
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License Number State | CA
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