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General NPI Number Information
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NPI Number | 1770086464
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Entity Type | Organization
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Legal Business Name | START NOW HEALTH, INC.
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 2128 PIER AVE
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City | SANTA MONICA
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State | CA
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Zip | 90405-6048
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Country | US
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Telephone | 310-614-3697
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Fax |
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Provider Business Mailing Address
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Address Line | 2128 PIER AVE
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City | SANTA MONICA
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State | CA
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Zip | 90405-6048
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Country | US
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Telephone | 310-614-3697
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BOJANA JANKOVIC WEATHERLY
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Credential | MD, MSC
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Telephone | 310-614-3697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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