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General NPI Number Information
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NPI Number | 1316426695
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Entity Type | Organization
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Legal Business Name | VERDUGO MEDICAL CARE, INC
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1510 W VERDUGO AVE STE F
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City | BURBANK
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State | CA
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Zip | 91506
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Country | US
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Telephone | 818-861-7755
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Fax | 818-861-7756
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Provider Business Mailing Address
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Address Line | 1510 W VERDUGO AVE STE F
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City | BURBANK
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State | CA
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Zip | 91506-2473
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Country | US
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Telephone | 818-861-7755
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Fax | 818-861-7756
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | GEORGE D FLANIGAN III
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Credential | MD
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Telephone | 818-861-7755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A47749
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License Number State | CA
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