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General NPI Number Information
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NPI Number | 1578650016
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Entity Type | Individual
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Provider Name | JAN H MERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 5901 W OLYMPIC BLVD STE 507
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City | LOS ANGELES
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State | CA
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Zip | 90036-4670
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Country | US
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Telephone | 323-917-5183
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Fax | 323-917-5190
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Provider Business Mailing Address
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Address Line | 5901 W OLYMPIC BLVD STE 507
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City | LOS ANGELES
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State | CA
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Zip | 90036-4670
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Country | US
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Telephone | 323-917-5183
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Fax | 323-917-5190
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 635728
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G35728
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License Number State | CA
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