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General NPI Number Information
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NPI Number | 1013540863
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Entity Type | Organization
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Legal Business Name | AVANT ANESTHESIA ASSOCIATES INC
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD STE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6100
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Country | US
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Telephone | 310-855-3960
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Fax | 310-382-2422
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-1325
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Country | US
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Telephone | 310-855-3960
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Fax | 310-382-2422
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Authorized Official
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Title or Position | PRESIDENT
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Name | PERRY LIU
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Credential | MD
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Telephone | 310-855-3960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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