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General NPI Number Information
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NPI Number | 1982817698
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Entity Type | Organization
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Legal Business Name | ASSISTED REPRODUCTIVE TECHNOLOGIES MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5353 BALBOA BLVD #301
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-986-1070
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Fax | 818-986-9178
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Provider Business Mailing Address
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Address Line | 5353 BALBOA BLVD #301
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-986-1070
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Fax | 818-986-9178
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL VERMESH
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Credential | M.D.
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Telephone | 818-986-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | CA
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