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General NPI Number Information
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NPI Number | 1881893618
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Entity Type | Organization
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Legal Business Name | MAX R LEHFELDT M D AMC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 08/03/2007
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Provider Practice Location Address
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Address Line | 10 CONGRESS ST SUITE #502
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City | PASADENA
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State | CA
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Zip | 91105-3023
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Country | US
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Telephone | 626-449-8910
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Fax | 626-449-2155
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Provider Business Mailing Address
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Address Line | 3311 CROWNVIEW DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6417
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Country | US
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Telephone | 310-831-3229
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Fax | 310-988-2909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAX RUDOLPH LEHFELDT
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Credential | M.D.
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Telephone | 310-831-3229
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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 | A80511
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License Number State | CA
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