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General NPI Number Information
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NPI Number | 1942507405
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Entity Type | Organization
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Legal Business Name | DAVID PALESTRANT MD INC
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 323-319-6992
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2338
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City | MILL VALLEY
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State | CA
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Zip | 94942-2338
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Country | US
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Telephone | 323-319-6992
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID PALESTRANT
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Credential | MD
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Telephone | 323-319-6992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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