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General NPI Number Information
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NPI Number | 1962458414
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Entity Type | Organization
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Legal Business Name | TEMP ADVANTAGE, INC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3350 WILSHIRE BLVD 445
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City | LOS ANGELES
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State | CA
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Zip | 90010-1824
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Country | US
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Telephone | 213-389-2136
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Fax | 213-389-2215
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Provider Business Mailing Address
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Address Line | 3350 WILSHIRE BLVD 445
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City | LOS ANGELES
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State | CA
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Zip | 90010-1824
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Country | US
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Telephone | 213-389-2136
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Fax | 213-389-2215
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Authorized Official
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Title or Position | CEO
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Name | MR. BORIS OKNER
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Credential | ARDMS
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Telephone | 213-389-2136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | TG-405
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License Number State | CA
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