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General NPI Number Information
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NPI Number | 1750696308
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Entity Type | Organization
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Legal Business Name | ALLIED HEALTH SOLUTIONS MEDICAL GROUP A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 6333 WILSHIRE BLVD SUITE 411
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City | LOS ANGELES
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State | CA
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Zip | 90048-5702
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Country | US
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Telephone | 323-944-0949
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Fax | 323-782-0388
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Provider Business Mailing Address
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Address Line | 6333 WILSHIRE BLVD SUITE 411
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City | LOS ANGELES
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State | CA
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Zip | 90048-5702
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Country | US
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Telephone | 323-944-0949
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Fax | 323-782-0388
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH PIERSON
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Credential | MD
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Telephone | 323-944-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | G53815
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License Number State | CA
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