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General NPI Number Information
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NPI Number | 1952406399
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Entity Type | Organization
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Legal Business Name | MAJOR MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1411 W 54TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90062-2806
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Country | US
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Telephone | 323-752-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 311 N. ROBERTSON BLVD # 373
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OWUSU FIREMPONG
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Credential | M.D.
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Telephone | 323-752-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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