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General NPI Number Information
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NPI Number | 1437463957
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Entity Type | Organization
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Legal Business Name | MARCOS B FLEIDERMAN M D MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 18372 CLARK ST SUITE 212
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City | TARZANA
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State | CA
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Zip | 91356-3508
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Country | US
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Telephone | 818-881-8610
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Fax | 818-881-4260
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Provider Business Mailing Address
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Address Line | 18372 CLARK ST SUITE 212
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City | TARZANA
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State | CA
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Zip | 91356-3508
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Country | US
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Telephone | 818-881-8610
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Fax | 818-881-4260
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCOS B. FLEIDERMAN
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Credential | M.D.
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Telephone | 818-881-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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