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General NPI Number Information
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NPI Number | 1912164872
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Entity Type | Individual
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Provider Name | JASON J EMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 9201 W SUNSET BLVD STE 510
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3706
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Country | US
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Telephone | 424-285-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 435 N BEDFORD DR SUITE 312
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4321
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Country | US
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Telephone | 424-320-0813
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 250356
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A123791
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License Number State | CA
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