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General NPI Number Information
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NPI Number | 1992046536
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Entity Type | Organization
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Legal Business Name | ENDO TEAM
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 8237 1/2 STEWART AND GRAY RD #107
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City | DOWNEY
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State | CA
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Zip | 90241-5100
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Country | US
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Telephone | 562-209-3564
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Fax | 562-381-7013
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Provider Business Mailing Address
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Address Line | PO BOX 2681
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City | DOWNEY
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State | CA
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Zip | 90242-1681
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Country | US
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Telephone | 562-209-3564
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Fax | 562-381-7013
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Authorized Official
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Title or Position | CEO
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Name | MRS. MIRIAM RAMIREZ
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Credential |
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Telephone | 562-209-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 17984
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License Number State | CA
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