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General NPI Number Information
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NPI Number | 1821390154
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Entity Type | Organization
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Legal Business Name | VERMONT HEALTHCARE CENTER INC
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 12/10/2015
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Provider Practice Location Address
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Address Line | 1234 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1704
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Country | US
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Telephone | 323-660-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1704
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Country | US
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Telephone | 323-660-5624
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IMAD A EL ASMAR
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Credential | M.D
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Telephone | 213-487-6867
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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 | A61923
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License Number State | CA
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