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General NPI Number Information
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NPI Number | 1538272000
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Entity Type | Organization
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Legal Business Name | DAVID J FUERST MD INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1808 VERDUGO BLVD STE 103
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City | GLENDALE
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State | CA
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Zip | 91208-1482
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Country | US
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Telephone | 818-957-2020
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Fax | 818-790-2708
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Provider Business Mailing Address
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Address Line | 1808 VERDUGO BLVD STE 103
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City | GLENDALE
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State | CA
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Zip | 91208-1482
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Country | US
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Telephone | 818-957-2020
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Fax | 818-790-2708
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J FUERST
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Credential | MD
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Telephone | 818-957-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G47430
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License Number State | CA
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