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General NPI Number Information
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NPI Number | 1518124858
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Entity Type | Organization
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Legal Business Name | APT, GINDI, GORDON & KERMAN, M.D.'S INC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 3756 SANTA ROSALIA DR SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90008-3606
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Country | US
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Telephone | 323-295-6611
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Fax | 310-553-2135
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 800
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-277-2727
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Fax | 310-553-2135
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH L GORDON
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Credential | M.D.
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Telephone | 310-277-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C36598
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License Number State | CA
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