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General NPI Number Information
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NPI Number | 1104190941
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY VASCULAR SPECIALISTS, INC.
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 05/17/2017
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Provider Practice Location Address
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Address Line | 520 SUPERIOR AVE SUITE 370
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-574-7176
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Fax | 949-574-7180
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Provider Business Mailing Address
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Address Line | 520 SUPERIOR AVE SUITE 370
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-574-7176
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Fax | 949-574-7180
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN F. LINDSAY
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Credential | M.D.
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Telephone | 949-574-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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