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General NPI Number Information
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NPI Number | 1871872697
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Entity Type | Organization
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Legal Business Name | MEDWIN HOSPITALIST AND HEALTHCARE NETWORK
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 08/10/2011
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Provider Practice Location Address
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Address Line | 910 S SUNSET AVE STE 7AND8
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City | WEST COVINA
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State | CA
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Zip | 91790-3409
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Country | US
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Telephone | 626-338-1155
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Fax | 626-338-1125
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Provider Business Mailing Address
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Address Line | 910 SOUTH SUNSET AVE. SUITE# 7 AND 8
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City | WEST
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State | CA
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Zip | 91790
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Country | US
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Telephone | 626-338-1155
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Fax | 626-338-1125
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RADHIKA TULPULE
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Credential | M.D.
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Telephone | 626-338-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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