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General NPI Number Information
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NPI Number | 1811420458
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Entity Type | Individual
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Provider Name | ELI SIMSOLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST STE 710E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5911
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Country | US
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Telephone | 310-746-5335
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Fax | 310-499-0025
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Provider Business Mailing Address
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Address Line | 8631 W 3RD ST STE 710E
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City | LOS ANGELES
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State | CA
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Zip | 90048-5911
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Country | US
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Telephone | 310-746-5335
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Fax | 310-499-0025
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1013663
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A186821
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1013663
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A186821
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | A186821
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License Number State | CA
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