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NPI Code Detail

MEDICARE: DOROTHY M. POLITE

MEDICARE:   DOROTHY M. POLITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12871CA

General Provider Information

NPI Number : 1366597072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY M. POLITE
Provider Business Mailing Address
First Line : 13101 W WASHINGTON BLVD
Second Line : SUITE 130
City : LOS ANGELES
State : CA
Zip : 90066-5131
Country : US
Telephone Number : 310-566-7479
Fax Number : 310-566-7487
Provider Business Practice Location Address
First Line : 13101 W WASHINGTON BLVD
Second Line : SUITE 130
City : LOS ANGELES
State : CA
Zip : 90066-5131
Country : US
Telephone Number : 310-566-7479
Fax Number : 310-566-7487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 04/28/2010

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Directions to “ DOROTHY M. POLITE ” Practice Location

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