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General NPI Number Information
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NPI Number | 1881816551
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Entity Type | Organization
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Legal Business Name | PETER B. HIRSCH, MD, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 3201 WILSHIRE BLVD. SUITE 202
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City | SANTA MONICA
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State | CA
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Zip | 90403-2337
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Country | US
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Telephone | 310-630-3717
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Fax | 310-451-1244
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Provider Business Mailing Address
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Address Line | 3201 WILSHIRE BLVD. SUITE 202
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City | SANTA MONICA
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State | CA
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Zip | 90403-2337
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Country | US
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Telephone | 310-630-3717
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Fax | 310-451-1244
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER B. HIRSCH
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Credential | MD
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Telephone | 310-630-3717
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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 | G37940
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License Number State | CA
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