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General NPI Number Information
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NPI Number | 1063480978
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Entity Type | Individual
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Provider Name | PHILIP K DAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 1525 SUPERIOR AVE STE 114
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3639
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Country | US
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Telephone | 949-646-6999
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Fax | 949-646-9699
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | SANTA ANA
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State | CA
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Zip | 92799-5033
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Country | US
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Telephone | 800-883-7243
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Fax | 714-347-1082
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | G42288
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License Number State | CA
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