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General NPI Number Information
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NPI Number | 1518626878
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Entity Type | Organization
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Legal Business Name | EZTELEMD, LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 232 LAS PALMAS DR
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City | IRVINE
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State | CA
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Zip | 92602-2312
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Country | US
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Telephone | 949-665-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 6338 SNIDER RD UNIT 971 5040
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City | MASON
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State | OH
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Zip | 45040
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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 | PARTNER
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Name | DR. FUAT BICER
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Credential | MD
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Telephone | 949-665-9136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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