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General NPI Number Information
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NPI Number | 1609009455
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Entity Type | Organization
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Legal Business Name | DIDI HIRSCH MHS
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 14531 WHEATSTONE AVE
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City | NORWALK
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State | CA
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Zip | 90650-5036
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Country | US
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Telephone | 323-854-4204
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Fax |
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Provider Business Mailing Address
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Address Line | 14531 WHEATSTONE AVENUE
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INTERN
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Name | MARIA ISABEL TORRES
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Credential |
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Telephone | 323-854-4204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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