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General NPI Number Information
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NPI Number | 1427027143
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Entity Type | Organization
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Legal Business Name | APT, GINDI, GORDON & KERMAN, M.D.'S, INC.
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK EAST SUITE 800
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City | LOS ANGELES
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State | CA
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Zip | 90067-2011
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Country | US
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Telephone | 310-277-2727
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Fax | 310-553-2135
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK EAST SUITE 800
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City | LOS ANGELES
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State | CA
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Zip | 90067-2011
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Country | US
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Telephone | 310-277-2727
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Fax | 310-553-2135
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH L. GORDON
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Credential | M.D.
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Telephone | 310-277-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G50780 AND C36598
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License Number State | CA
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