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General NPI Number Information
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NPI Number | 1740178458
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Entity Type | Organization
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Legal Business Name | DAVID UNDERHILL, MD INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 4320 MARICOPA ST
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City | TORRANCE
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State | CA
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Zip | 90503-4314
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Country | US
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Telephone | 310-303-5900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4245
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City | REDONDO BEACH
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State | CA
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Zip | 90277-1759
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Country | US
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Telephone | 714-234-1350
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID UNDERHILL
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Credential | MD
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Telephone | 714-234-1350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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