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General NPI Number Information
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NPI Number | 1902188022
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Entity Type | Organization
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Legal Business Name | SAN FERNANDO VALLEY MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD. #502
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-325-0200
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Fax | 818-325-0210
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Provider Business Mailing Address
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Address Line | 4955 VAN NUYS BLVD. #502
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-325-0200
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Fax | 818-325-0210
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SAFA ANWAR
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Credential |
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Telephone | 818-325-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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