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General NPI Number Information
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NPI Number | 1801920087
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Entity Type | Organization
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Legal Business Name | LYNWOOD UNITED MEDICAL
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 3150 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-3223
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Country | US
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Telephone | 626-357-0914
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Fax | 626-357-0915
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Provider Business Mailing Address
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Address Line | 3150 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-3223
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Country | US
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Telephone | 626-357-0914
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Fax | 626-357-0915
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. EDUARDO DA SARLI
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Credential | MD
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Telephone | 626-357-0914
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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 | 00A369910
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License Number State | CA
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