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General NPI Number Information
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NPI Number | 1487996302
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Entity Type | Individual
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Provider Name | JOSHUA MARK FLATOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 320 PINE AVE STE 609
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City | LONG BEACH
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State | CA
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Zip | 90802-2310
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Country | US
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Telephone | 562-279-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 4840 MINDORA DR
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City | TORRANCE
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State | CA
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Zip | 90505-2140
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Country | US
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Telephone | 424-262-1521
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1487996302
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A131756
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License Number State | CA
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