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General NPI Number Information
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NPI Number | 1538236062
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Entity Type | Individual
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Provider Name | ROZALIA KOVELMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 7531 SANTA MONICA BLVD SUITE 202
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046
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Country | US
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Telephone | 323-850-8282
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Fax | 323-850-1759
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Provider Business Mailing Address
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Address Line | 7531 SANTA MONICA BLVD SUITE #202
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046
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Country | US
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Telephone | 323-850-8282
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Fax | 323-850-1759
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A41643
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License Number State | CA
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