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General NPI Number Information
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NPI Number | 1902014376
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Entity Type | Organization
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Legal Business Name | MICHAEL A ERLICH MD INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3650 E SOUTH STREET SUITE 108
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City | LAKEWOOD
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State | CA
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Zip | 90712-1533
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Country | US
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Telephone | 562-633-1007
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Fax | 562-633-6427
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Provider Business Mailing Address
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Address Line | 3650 E SOUTH STREET SUITE 108
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City | LAKEWOOD
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State | CA
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Zip | 90712-1533
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Country | US
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Telephone | 562-633-1007
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Fax | 562-633-6427
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Authorized Official
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Title or Position | PRESIDENT MICHAEL A ERLICH MD INC
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Name | DR. DAVID DREW NEER
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Credential | MD
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Telephone | 562-633-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G24428
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G23888
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License Number State | CA
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