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General NPI Number Information
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NPI Number | 1801097852
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Entity Type | Individual
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Provider Name | MICHELLE FURUTA MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 23440 HAWTHORNE BLVD SUITE 220
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City | TORRANCE
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State | CA
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Zip | 90505-4748
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Country | US
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Telephone | 310-738-2228
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Fax | 866-506-2788
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Provider Business Mailing Address
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Address Line | 23440 HAWTHORNE BLVD STE 220
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City | TORRANCE
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State | CA
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Zip | 90505-4768
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Country | US
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Telephone | 310-738-2228
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Fax | 888-972-6233
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A99491
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License Number State | CA
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