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General NPI Number Information
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NPI Number | 1811131345
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Entity Type | Individual
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Provider Name | LEO URBINELLI M.D., M.A.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 323-361-2154
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Fax | 323-361-3632
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Provider Business Mailing Address
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Address Line | 3701 WILSHIRE BLVD SUITE 600
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City | LOS ANGELES
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State | CA
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Zip | 90010-2804
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Country | US
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Telephone | 323-361-2337
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Fax | 323-361-8491
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A137690
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License Number State | CA
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