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General NPI Number Information
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NPI Number | 1083058747
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Entity Type | Organization
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Legal Business Name | AEGIS MEDICAL SYSTEMS, INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 501 W COLUMBUS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1263
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Country | US
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Telephone | 661-328-0245
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Fax | 818-206-0383
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Provider Business Mailing Address
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Address Line | 7246 REMMET AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303-1531
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Country | US
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Telephone | 818-206-0360
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Fax | 818-206-0381
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | MR. EHUD BARKAI
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Credential |
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Telephone | 818-206-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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