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General NPI Number Information
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NPI Number | 1770850687
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Entity Type | Organization
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Legal Business Name | ELAYNE K. GARBER, M.D. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/20/2011
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Last Update Date | 11/20/2011
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST SUITE 700E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-854-3539
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Fax |
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Provider Business Mailing Address
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Address Line | 8631 W 3RD ST SUITE 700E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-854-3539
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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. ELAYNE K. GARBER
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Credential | M.D.
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Telephone | 310-854-3539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | G32336
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License Number State | CA
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