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General NPI Number Information
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NPI Number | 1629277835
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Entity Type | Organization
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Legal Business Name | DANIEL B BORENSTEIN, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 151 N CANYON VIEW DR
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City | LOS ANGELES
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State | CA
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Zip | 90049-2721
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Country | US
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Telephone | 310-472-7386
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Fax | 310-471-0708
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Provider Business Mailing Address
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Address Line | 151 N CANYON VIEW DR
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City | LOS ANGELES
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State | CA
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Zip | 90049-2721
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Country | US
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Telephone | 310-472-7386
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Fax | 310-471-0708
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL B BORENSTEIN
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Credential | MD
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Telephone | 310-472-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 0669733
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License Number State | CA
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