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General NPI Number Information
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NPI Number | 1841974862
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Entity Type | Organization
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Legal Business Name | JEFFREY SHUKHMAN DO PC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 22554 VENTURA BLVD STE 129
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1469
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Country | US
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Telephone | 818-722-8952
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Fax | 747-267-6342
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Provider Business Mailing Address
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Address Line | 22554 VENTURA BLVD STE 129
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1469
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Country | US
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Telephone | 818-722-8952
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Fax | 747-267-6342
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY SHUKHMAN
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Credential | DO
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Telephone | 310-650-1656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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