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General NPI Number Information
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NPI Number | 1073637575
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Entity Type | Organization
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Legal Business Name | SORAYA ANNE ROSS MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-888-1234
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Fax | 310-888-1227
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Provider Business Mailing Address
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Address Line | 8920 WILSHIRE BLVD STE 321
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2003
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Country | US
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Telephone | 310-888-1234
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Fax | 310-888-1227
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | WILLIAM NOVAK
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Credential |
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Telephone | 724-325-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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