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General NPI Number Information
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NPI Number | 1396875712
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Entity Type | Organization
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Legal Business Name | FOOTHILL EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1812 VERDUGO BLVD VERDUGO HILLS HOSPITAL ER
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City | GLENDALE
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State | CA
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Zip | 91208-1409
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Country | US
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Telephone | 818-952-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 LA CRESCENTA AVE #207
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3948
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Country | US
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Telephone | 818-957-9595
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Fax | 818-957-8484
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Authorized Official
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Title or Position | ER DIRECTOR
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Name | DR. LEO ELDON BERKENBILE
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Credential | MD
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Telephone | 818-957-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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