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General NPI Number Information
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NPI Number | 1982608238
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Entity Type | Individual
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Provider Name | HERVE J. DUMONT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 1155 N VERMONT AVE STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90029-1701
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Country | US
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Telephone | 323-664-1814
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Fax | 323-663-1723
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Provider Business Mailing Address
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Address Line | 1155 N VERMONT AVE STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90029-1701
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Country | US
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Telephone | 323-664-1814
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Fax | 323-663-1723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | G85430
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G85430
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G85430
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G85430
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | G85430
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License Number State | CA
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