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General NPI Number Information
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NPI Number | 1689953648
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Entity Type | Organization
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Legal Business Name | JOHN M USZLER MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 1243 FRANKLIN ST UNIT 1
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City | SANTA MONICA
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State | CA
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Zip | 90404
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Country | US
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Telephone | 310-628-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 2461 SANTA MONICA BLVD SUITE 234
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City | SANTA MONICA
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State | CA
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Zip | 90404-2065
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Country | US
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Telephone | 310-628-7440
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Fax | 310-388-0347
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN M USZLER
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Credential | MD
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Telephone | 310-628-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 617328
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License Number State | CA
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