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General NPI Number Information
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NPI Number | 1811226855
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Entity Type | Organization
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Legal Business Name | HATZOLAH OF LOS ANGELES
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 1417 S DOHENY DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-3208
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Country | US
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Telephone | 310-497-9024
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Fax | 310-278-6925
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Provider Business Mailing Address
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Address Line | 1417 S DOHENY DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-3208
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Country | US
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Telephone | 310-497-9024
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Fax | 310-278-6925
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Authorized Official
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Title or Position | TREASURER
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Name | MR. AZRIEL AHARON
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Credential | EMT
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Telephone | 310-497-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1896
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License Number State | CA
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