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General NPI Number Information
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NPI Number | 1518006014
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Entity Type | Organization
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Legal Business Name | RICHARD PROTZEL MD, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 9735 WILSHIRE BLVD # 249
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-858-0774
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Fax | 310-858-0983
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Provider Business Mailing Address
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Address Line | 9735 WILSHIRE BLVD # 249
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-858-0774
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Fax | 310-858-0983
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Authorized Official
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Title or Position | PATHOLOGIST OWNER
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Name | DR. RICHARD PROTZEL
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Credential | M.D.
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Telephone | 310-858-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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