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General NPI Number Information
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NPI Number | 1528080090
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Entity Type | Individual
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Provider Name | ASSA WEINBERG MD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 6464 SUNSET BLVD., #1010 ASSA WEINBERG, MD
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City | LOS ANGELES
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State | CA
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Zip | 90028
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Country | US
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Telephone | 323-461-5858
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Fax | 323-461-5852
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Provider Business Mailing Address
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Address Line | 6464 SUNSET BLVD., #1010 ASSA WEINBERG, MD
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City | LOS ANGELES
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State | CA
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Zip | 90028
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Country | US
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Telephone | 323-461-5858
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Fax | 323-461-5852
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C41889
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License Number State | CA
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