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General NPI Number Information
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NPI Number | 1750348785
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Entity Type | Individual
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Provider Name | SHELDON JOEL GETZUG M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 18425 BURBANK BLVD SUITE 500
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City | TARZANA
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State | CA
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Zip | 91356-6691
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Country | US
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Telephone | 818-708-6000
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Fax | 818-708-6009
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Provider Business Mailing Address
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Address Line | 18425 BURBANK BLVD SUITE 500
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City | TARZANA
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State | CA
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Zip | 91356-2806
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Country | US
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Telephone | 818-708-6000
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Fax | 818-708-6009
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A19118
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License Number State | CA
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