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General NPI Number Information
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NPI Number | 1538320619
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Entity Type | Organization
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Legal Business Name | AMERICO SIMONINI, M.D.,PROF CORP
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST 750W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-659-2030
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Fax | 310-659-1369
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST 750W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-659-2030
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Fax | 310-659-1369
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMERICO SIMONINI
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Credential | MD
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Telephone | 310-659-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G73109
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License Number State | CA
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