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General NPI Number Information
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NPI Number | 1750656799
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Entity Type | Organization
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Legal Business Name | INTEGRATED PHYSICIANS MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 310-575-5575
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Fax | 310-575-5570
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE SUITE 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-5363
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Country | US
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Telephone | 310-575-5575
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Fax | 310-575-5570
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY JAMES
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Credential |
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Telephone | 310-575-5575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC19493
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C54648
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License Number State | CA
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Taxonomy #3
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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 | CA
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