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General NPI Number Information
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NPI Number | 1609054139
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Entity Type | Organization
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Legal Business Name | FURMAN MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 630 S RAYMOND AVE #240
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City | PASADENA
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State | CA
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Zip | 91105-3278
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Country | US
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Telephone | 626-535-1772
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Fax | 626-535-1776
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Provider Business Mailing Address
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Address Line | PO BOX 312
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City | PASADENA
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State | CA
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Zip | 91102-0312
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Country | US
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Telephone | 626-535-1772
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Fax | 626-535-1776
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ANCHEL FURMAN
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Credential | MD
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Telephone | 626-535-1772
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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 | A492470
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License Number State | CA
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