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General NPI Number Information
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NPI Number | 1487353058
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Entity Type | Organization
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Legal Business Name | MINT MED PC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 1070 S HOLT AVE APT 405
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City | LOS ANGELES
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State | CA
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Zip | 90035-2232
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Country | US
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Telephone | 718-887-4894
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Fax |
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Provider Business Mailing Address
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Address Line | 9461 CHARLEVILLE BLVD # 187
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | ESTHER FRIEDMAN
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Credential |
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Telephone | 718-887-4894
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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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