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General NPI Number Information
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NPI Number | 1548665375
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Entity Type | Organization
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Legal Business Name | DARREN & KAREN NEAL MEDICAL CORP
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 23000 CRENSHAW BLVD SUITE #208
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City | TORRANCE
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State | CA
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Zip | 90505-3052
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Country | US
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Telephone | 310-326-1147
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Fax | 310-326-1148
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Provider Business Mailing Address
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Address Line | PO BOX 3129
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City | TORRANCE
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State | CA
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Zip | 90510-3129
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Country | US
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Telephone | 310-792-3914
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Fax | 855-898-4055
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DARREN NEAL
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Credential | MD
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Telephone | 310-326-1147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A 7202
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A 5905
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 20A 7202
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | CA
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