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General NPI Number Information
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NPI Number | 1497765069
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Entity Type | Individual
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Provider Name | HOWARD ELLIS EDELSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 1411 E 31ST STREET OAKCARE MEDICAL GROUP
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City | OAKLAND
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State | CA
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Zip | 94602-1080
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Country | US
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Telephone | 510-437-4323
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Fax | 510-437-5042
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Provider Business Mailing Address
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Address Line | 1411 E 31ST STREET OAKCARE MEDICAL GROUP
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City | OAKLAND
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State | CA
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Zip | 94602-1080
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Country | US
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Telephone | 510-437-4323
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Fax | 510-437-5042
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | G050259
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License Number State | CA
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