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General NPI Number Information
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NPI Number | 1770259749
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Entity Type | Organization
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Legal Business Name | AFTERMATH MEDICAL GROUP, ONC.
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 2520 W 8TH ST STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90057-3861
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Country | US
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Telephone | 213-389-2526
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Fax | 213-389-2506
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Provider Business Mailing Address
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Address Line | 2222 FOOTHILL BLVD # E122
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City | LA CANADA
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State | CA
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Zip | 91011-1456
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Country | US
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Telephone | 323-974-3211
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Fax | 213-389-2506
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. EDWARD N OPOKU
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Credential | D.O.
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Telephone | 323-974-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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