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General NPI Number Information
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NPI Number | 1750431342
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Entity Type | Organization
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Legal Business Name | MD ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 13833 VENTURA BLVD # 206
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3628
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Country | US
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Telephone | 818-305-3838
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Fax | 818-305-3839
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Provider Business Mailing Address
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Address Line | PO BOX 6430
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City | WOODLAND HILLS
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State | CA
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Zip | 91365-6430
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Country | US
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Telephone | 818-305-3838
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Fax | 818-305-3839
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL DAVOODIFAR
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Credential |
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Telephone | 818-305-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 103428
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License Number State | CA
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