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General NPI Number Information
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NPI Number | 1811019938
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Entity Type | Organization
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Legal Business Name | TOM MEASLES MD PROF CORP
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2190 LYNN RD STE 320
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 805-370-5444
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Fax | 805-370-5515
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Provider Business Mailing Address
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Address Line | 2190 LYNN RD STE 320
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 805-370-5444
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Fax | 805-370-5515
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | DR. TOM F MEASLES
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Credential | M.D.
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Telephone | 805-370-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A67464
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License Number State | CA
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