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General NPI Number Information
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NPI Number | 1528570678
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Entity Type | Organization
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Legal Business Name | DOSSIER HEALTH MANAGEMENT
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 138 N BRAND BLVD STE 200-106
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City | GLENDALE
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State | CA
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Zip | 91203-4614
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Country | US
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Telephone | 818-823-4352
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Fax | 818-230-9029
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Provider Business Mailing Address
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Address Line | 138 N BRAND BLVD STE 200-106
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City | GLENDALE
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State | CA
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Zip | 91203-4614
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Country | US
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Telephone | 818-823-4352
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Fax | 818-230-9029
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Authorized Official
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Title or Position | MANAGER
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Name | JAMES KOSTOS
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Credential |
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Telephone | 818-823-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | A82437
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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