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General NPI Number Information
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NPI Number | 1487105953
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Entity Type | Organization
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Legal Business Name | MEDICAL LEGAL EXPERTS
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 14623 HAWTHORNE BLVD SUITE 406
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City | LAWNDALE
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State | CA
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Zip | 90260-1581
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Country | US
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Telephone | 877-204-5682
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Fax | 310-356-7910
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Provider Business Mailing Address
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Address Line | 14623 HAWTHORNE BLVD SUITE 406
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City | LAWNDALE
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State | CA
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Zip | 90260-1581
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Country | US
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Telephone | 877-204-5682
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Fax | 310-356-7910
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Authorized Official
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Title or Position | LIEN RESOLUTION REPRESENTATIVE
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Name | MS. JENNIFER K DUMALO
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Credential | M.A., COMMUNICATIONS
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Telephone | 310-387-9517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State | CA
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