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General NPI Number Information
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NPI Number | 1528453834
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Entity Type | Organization
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Legal Business Name | MENASHE EHRENBURG, D.O., APC
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 5232 MARY ELLEN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-6028
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Country | US
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Telephone | 917-596-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 5232 MARY ELLEN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-6028
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Country | US
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Telephone | 917-596-2555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MENASHE EHRENBURG
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Credential | D.O.
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Telephone | 917-596-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 20A11076
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License Number State | CA
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