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General NPI Number Information
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NPI Number | 1457530784
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Entity Type | Organization
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Legal Business Name | JHS ENDOSCOPY MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 639 S NEW HAMPSHIRE AVE 201
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City | LOS ANGELES
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State | CA
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Zip | 90005-1342
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Country | US
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Telephone | 213-380-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 639 S NEW HAMPSHIRE AVE 201
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City | LOS ANGELES
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State | CA
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Zip | 90005-1342
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Country | US
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Telephone | 213-380-5111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIN H SUH
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Credential | MD
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Telephone | 213-380-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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