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General NPI Number Information
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NPI Number | 1528428422
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Entity Type | Individual
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Provider Name | DENISE M. DUROSS L.A.C
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Gender | Female
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE RM 118
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 424-625-8813
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Fax |
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Provider Business Mailing Address
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Address Line | 3438 S CENTINELA AVE APT #3
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City | LOS ANGELES
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State | CA
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Zip | 90066-1856
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Country | US
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Telephone | 586-491-8507
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16621
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License Number State | CA
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