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General NPI Number Information
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NPI Number | 1053964361
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Entity Type | Organization
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Legal Business Name | TOWER ANESTHESIA GROUP
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 436 N ROXBURY DR STE 117
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5016
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Country | US
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Telephone | 310-385-9623
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Fax |
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Provider Business Mailing Address
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Address Line | 436 N ROXBURY DR STE 117
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5016
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Country | US
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Telephone | 310-385-9623
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. VISHAL KAPOOR
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Credential | MD
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Telephone | 310-913-1735
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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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