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General NPI Number Information
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NPI Number | 1528595295
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Entity Type | Organization
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Legal Business Name | NEUROMED GROUP
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 8780 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-984-8882
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Fax | 818-894-3111
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD SUITE #943
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2304
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Country | US
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Telephone | 714-654-7990
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Fax | 818-894-3111
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NADER ARMANIOUS
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Credential | M.D
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Telephone | 714-654-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A72796
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A112838
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | CA
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