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General NPI Number Information
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NPI Number | 1881708220
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Entity Type | Organization
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Legal Business Name | LESIN BALFOUR AND ZIV A PROF MED CORP
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 4849 VAN NUYS BLVD STE 217
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2128
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Country | US
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Telephone | 818-902-2800
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Fax | 818-782-8979
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Provider Business Mailing Address
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Address Line | 4849 VAN NUYS BLVD STE 217
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2128
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Country | US
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Telephone | 818-902-2800
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Fax | 818-902-2810
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE W BALFOUR
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Credential | M.D.
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Telephone | 818-902-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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