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General NPI Number Information
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NPI Number | 1326483165
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Entity Type | Organization
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Legal Business Name | DOCTORS & ASSOCIATES MEDICAL GROUP INC. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 09/07/2017
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Provider Practice Location Address
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Address Line | 9660 FLAIR DR SUITE 264
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City | EL MONTE
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State | CA
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Zip | 91731-3017
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Country | US
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Telephone | 626-350-3040
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Fax | 626-350-3050
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Provider Business Mailing Address
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Address Line | 9660 FLAIR DR SUITE 264
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City | EL MONTE
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State | CA
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Zip | 91731-3017
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Country | US
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Telephone | 626-350-3040
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Fax | 626-350-3050
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW L HECHT
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Credential | M.D.
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Telephone | 626-350-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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