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General NPI Number Information
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NPI Number | 1972988491
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Entity Type | Organization
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Legal Business Name | ERIC J. MEINHARDT, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/26/2015
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 11645 WILSHIRE BLVD 1080
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City | LOS ANGELES
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State | CA
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Zip | 90025-1708
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Country | US
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Telephone | 310-275-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 11645 WILSHIRE BLVD 1080
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City | LOS ANGELES
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State | CA
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Zip | 90025-1708
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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 | DERMATOLOGIST
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Name | DR. ERIC JOEL MEINHARDT
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Credential | MD
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Telephone | 310-275-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A113988
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License Number State | CA
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