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General NPI Number Information
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NPI Number | 1346510245
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Entity Type | Organization
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Legal Business Name | NEUFELD MEDICAL GROUP
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 8733 BEVERLY BLVD SUITE 202
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1827
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Country | US
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Telephone | 310-652-3976
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Fax | 310-652-8085
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Provider Business Mailing Address
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Address Line | 8733 BEVERLY BLVD SUITE 202
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1827
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Country | US
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Telephone | 310-652-3976
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Fax | 310-652-8085
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAOMI D NEUFELD
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Credential | M.D.
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Telephone | 310-652-3976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | G029275
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License Number State | CA
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