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General NPI Number Information
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NPI Number | 1366324451
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Entity Type | Organization
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Legal Business Name | LRNM MEDICAL
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 4551 GLENCOE AVE STE 145
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6385
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Country | US
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Telephone | 310-405-0595
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Fax |
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Provider Business Mailing Address
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Address Line | 4551 GLENCOE AVE STE 145
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6385
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO, SECRETARY
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Name | DR. NATASHA MEHTA
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Credential | MD
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Telephone | 937-238-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) 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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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