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General NPI Number Information
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NPI Number | 1952501850
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Entity Type | Organization
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Legal Business Name | ELIE M. GINDI, MD
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1605
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-553-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK EAST SUITE 1605
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City | LOS ANGELES
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State | CA
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Zip | 90067
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Country | US
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Telephone | 310-553-5535
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ELIE M GINDI
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Credential | MD
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Telephone | 310-553-5535
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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 | G43497
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License Number State | CA
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