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General NPI Number Information
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NPI Number | 1720513831
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Entity Type | Organization
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Legal Business Name | HEALTHCHECK ASSESSMENT CENTER
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 2001 SANTA MONICA BLVD SUITE 1090
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City | SANTA MONICA
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State | CA
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Zip | 90404-2102
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Country | US
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Telephone | 310-301-7660
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 KILROY AIRPORT WAY SUITE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-2494
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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 | MEDICAL DIRECTOR
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Name | DR. DAN OSTERWEIL
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Credential | M.D.
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Telephone | 310-301-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NP95003650
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License Number State | CA
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