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General NPI Number Information
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NPI Number | 1346419942
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Entity Type | Organization
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Legal Business Name | GEORGE GERSHMAN, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 9735 WILSHIRE BLVD SUITE 323
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-271-5152
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Fax | 310-271-5121
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Provider Business Mailing Address
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Address Line | 9735 WILSHIRE BLVD SUITE 323
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-271-5152
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Fax | 310-271-5121
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Authorized Official
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Title or Position | GASTROENTEROLOGIST
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Name | GEORGE GERSHMAN
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Credential | M.D.
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Telephone | 310-271-5152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | A62846
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A62846
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License Number State | CA
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