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General NPI Number Information
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NPI Number | 1851476113
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Entity Type | Individual
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Provider Name | MS. LINDA JOYCE HIRSH
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2901 OCEAN PARK BLVD SUITE 207
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City | SANTA MONICA
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State | CA
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Zip | 90405-2919
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Country | US
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Telephone | 310-413-9643
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Fax | 310-396-6736
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Provider Business Mailing Address
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Address Line | 2901 OCEAN PARK BLVD SUITE 207
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City | SANTA MONICA
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State | CA
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Zip | 90405-2919
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Country | US
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Telephone | 310-413-9643
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Fax | 310-396-6736
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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