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General NPI Number Information
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NPI Number | 1982807152
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Entity Type | Individual
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Provider Name | ISAAC REGEV MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 6380 WILSHIRE BLVD SUITE 1111
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City | LOS ANGELES
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State | CA
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Zip | 90048-5003
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Country | US
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Telephone | 323-653-4544
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Fax | 323-653-4500
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Provider Business Mailing Address
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Address Line | 9100 WILSHIRE BLVD SUITE 844W
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City | BEVERLY HILLS
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State | CA
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Zip | 90212
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Country | US
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Telephone | 310-550-4544
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Fax | 310-550-4528
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A40791
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License Number State | CA
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