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General NPI Number Information
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NPI Number | 1821453507
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Entity Type | Organization
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Legal Business Name | QUALITY CHOICE PHYSICIANS INC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 6222 WILSHIRE BLVD SUITE 260
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City | LOS ANGELES
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State | CA
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Zip | 90048-5123
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Country | US
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Telephone | 310-807-4200
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Fax | 888-390-7419
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Provider Business Mailing Address
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Address Line | 6222 WILSHIRE BLVD SUITE 260
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City | LOS ANGELES
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State | CA
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Zip | 90048-5123
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Country | US
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Telephone | 310-807-4200
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Fax | 888-390-7419
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID WITTENBERG
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Credential | DC
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Telephone | 323-807-4200
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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 |
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License Number State |
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