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General NPI Number Information
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NPI Number | 1649809971
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Entity Type | Organization
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Legal Business Name | TODD HARSHBARGER MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 191 S BUENA VISTA ST STE 370
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City | BURBANK
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State | CA
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Zip | 91505-4562
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Country | US
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Telephone | 213-787-7834
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Fax | 213-559-0929
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Provider Business Mailing Address
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Address Line | PO BOX 18111
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City | ANAHEIM
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State | CA
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Zip | 92817-8111
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Country | US
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Telephone | 213-787-7834
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Fax | 213-559-0929
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Authorized Official
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Title or Position | CEO
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Name | DR. TODD LEE HARSHBARGER
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Credential | MD
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Telephone | 213-787-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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