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General NPI Number Information
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NPI Number | 1952560203
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Entity Type | Organization
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Legal Business Name | PHYSICIANS RESOURCE SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 3760 MOTOR AVE SUITE 318
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City | LOS ANGELES
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State | CA
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Zip | 90034-6404
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Country | US
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Telephone | 310-694-3750
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Fax | 310-862-1881
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Provider Business Mailing Address
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Address Line | PO BOX 34412
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City | LOS ANGELES
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State | CA
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Zip | 90034-0412
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Country | US
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Telephone | 310-694-3750
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Fax | 310-862-1881
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELITA BALBASE
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Credential | M.D.
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Telephone | 310-694-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | G35245
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A83354
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License Number State | CA
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