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General NPI Number Information
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NPI Number | 1740807213
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Entity Type | Organization
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Legal Business Name | DRMSH CORP
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 10966 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2115
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Country | US
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Telephone | 866-553-4486
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Fax | 310-861-9926
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Provider Business Mailing Address
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Address Line | 10966 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2115
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Country | US
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Telephone | 866-553-4486
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Fax | 310-861-9926
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOSHE S HENDIZADEH
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Credential | MD
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Telephone | 866-553-4486
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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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