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General NPI Number Information
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NPI Number | 1982877312
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Entity Type | Organization
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Legal Business Name | WHITE MEMORIAL OTOLARYNGOLOGY FOUNDATION
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 1700 E CESAR E CHAVEZ AVE SUITE #2300
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City | LOS ANGELES
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State | CA
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Zip | 90033-2424
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Country | US
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Telephone | 323-268-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 E CESAR E CHAVEZ AVE SUITE #2300
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City | LOS ANGELES
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State | CA
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Zip | 90033-2424
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Country | US
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Telephone | 323-268-3046
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN FRANCIS VANORE II
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Credential | M.D.
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Telephone | 323-268-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | G29478
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License Number State | CA
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