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General NPI Number Information
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NPI Number | 1104655331
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Entity Type | Individual
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Provider Name | DAVID SLAWASKA-ENG MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1520 SAN PABLO ST USC ORTHOPEDICS KECK MEDICAL CENTER SUITE 200
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City | LOS ANGELES
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-442-5745
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Fax | 323-442-6952
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Provider Business Mailing Address
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Address Line | 200 N VERMONT #513
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City | LOS ANGELES
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State | CA
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Zip | 90004
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Country | US
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Telephone | 514-887-7227
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Fax |
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 1104655331
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License Number State | CA
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