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General NPI Number Information
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NPI Number | 1346541687
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Entity Type | Organization
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Legal Business Name | VADIM LIPEL & ASSOCIATES, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 16260 VENTURA BLVD SUITE 309
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City | ENCINO
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State | CA
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Zip | 91436-2203
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Country | US
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Telephone | 818-906-7643
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Fax | 818-906-7626
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Provider Business Mailing Address
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Address Line | 2934 1/2 N BEVERLY GLEN CIR #84
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City | LOS ANGELES
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State | CA
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Zip | 90077-1724
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Country | US
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Telephone | 818-906-7643
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Fax | 818-906-7626
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JANA SMITH
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Credential |
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Telephone | 818-906-7643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A063487
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License Number State | CA
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