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General NPI Number Information
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NPI Number | 1740040351
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Entity Type | Organization
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Legal Business Name | TREO MEDICAL GROUP
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1849 SAWTELLE BLVD STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90025-7013
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Country | US
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Telephone | 424-210-7724
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Fax | 800-493-9423
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD # 614
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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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 | OWNER/ CEO
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Name | JANELLE HAIDER
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Credential | MD
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Telephone | 310-751-0180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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