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General NPI Number Information
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NPI Number | 1801176193
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Entity Type | Organization
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Legal Business Name | SHERWIN J. ISENBERG MD INC
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 100 STEIN PLZ UCLA
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City | LOS ANGELES
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State | CA
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Zip | 90095-7000
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Country | US
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Telephone | 310-825-8840
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Fax | 310-794-7905
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Provider Business Mailing Address
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Address Line | 100 STEIN PLZ UCLA
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City | LOS ANGELES
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State | CA
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Zip | 90095-7000
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Country | US
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Telephone | 310-825-8840
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Fax | 310-794-7905
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Authorized Official
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Title or Position | M.D.
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Name | SHERWIN ISENBERG
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Credential | M.D.
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Telephone | 310-825-8840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A026025
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License Number State | CA
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