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General NPI Number Information
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NPI Number | 1982978557
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Entity Type | Organization
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Legal Business Name | SAMARITAN MEDICAL & REHABILIATION CENTER
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 506 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-2904
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Country | US
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Telephone | 213-484-2570
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Fax | 213-484-4158
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Provider Business Mailing Address
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Address Line | 506 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-2904
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Country | US
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Telephone | 213-484-2570
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Fax | 213-484-4158
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LORENZO TIZON
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Credential | MD
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Telephone | 213-484-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A40185
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License Number State | CA
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