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General NPI Number Information
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NPI Number | 1710796206
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Entity Type | Organization
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Legal Business Name | EMBO PARTNERS
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 8436 W 3RD ST STE 800
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City | LOS ANGELES
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State | CA
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Zip | 90048-4100
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Country | US
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Telephone | 424-800-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 N DOHENY DR
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City | LOS ANGELES
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State | CA
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Zip | 90069-1105
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Country | US
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Telephone | 310-876-9325
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. H GABRIEL LIPSHUTZ
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Credential | MD
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Telephone | 310-876-9325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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