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General NPI Number Information
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NPI Number | 1639690001
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Entity Type | Organization
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Legal Business Name | ELVIRA LINDWALL, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 2190 LYNN RD STE 240
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-8021
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Country | US
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Telephone | 805-370-1965
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Fax | 805-370-1984
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Provider Business Mailing Address
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Address Line | 2821 RAINFIELD AVE
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-5154
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Country | US
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Telephone | 214-763-5200
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Fax | 805-375-8450
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Authorized Official
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Title or Position | MANAGER
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Name | AARON LINDWALL
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Credential |
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Telephone | 214-763-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A120355
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License Number State | CA
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