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General NPI Number Information
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NPI Number | 1710228069
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Entity Type | Organization
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Legal Business Name | MARSHALL L. KADNER, M.D., INC.
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 421 N RODEO DR PENTHOUSE NUMBER 1
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4500
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Country | US
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Telephone | 310-432-6646
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Fax | 310-432-6647
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Provider Business Mailing Address
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Address Line | 421 N RODEO DR PENTHOUSE NUMBER 1
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIE MEADOWS
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Credential |
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Telephone | 310-432-6640
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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 | G5649
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License Number State | CA
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