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General NPI Number Information
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NPI Number | 1952386583
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Entity Type | Individual
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Provider Name | ERNEST H AGATSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 11411 BROOKSHIRE AVE STE 508
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City | DOWNEY
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State | CA
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Zip | 90241-5007
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Country | US
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Telephone | 562-923-0706
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Fax | 562-861-2133
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Provider Business Mailing Address
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Address Line | PO BOX 845996
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City | LOS ANGELES
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State | CA
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Zip | 90084-5996
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Country | US
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Telephone | 858-888-7700
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Fax | 858-221-5017
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G48418
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License Number State | CA
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