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General NPI Number Information
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NPI Number | 1568035343
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Entity Type | Organization
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Legal Business Name | DOCTOR2ME, INC
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 20350 VENTURA BLVD STE 130
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2485
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Country | US
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Telephone | 818-350-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 20350 VENTURA BLVD STE 140
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2484
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Country | US
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Telephone | 818-350-7676
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DMITRIY GRINBERG
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Credential |
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Telephone | 818-350-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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