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General NPI Number Information
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NPI Number | 1851157531
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Entity Type | Organization
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Legal Business Name | NICOLA NATSIS MD INC
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 8920 WILSHIRE BLVD STE 545
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2009
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Country | US
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Telephone | 310-854-3003
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 AVENUE OF THE STARS STE 1800
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City | LOS ANGELES
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State | CA
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Zip | 90067-6019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. NICOLA NATSIS
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Credential | MD
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Telephone | 310-714-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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