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General NPI Number Information
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NPI Number | 1134869191
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Entity Type | Organization
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Legal Business Name | RECONSTRUCTIVE SURGERY SPECIALISTS LLC
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 433 N CAMDEN DR FL 6
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4416
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Country | US
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Telephone | 310-880-5275
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Fax | 631-629-2559
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Provider Business Mailing Address
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Address Line | PO BOX 15868
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-1868
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Country | US
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Telephone | 310-880-5275
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Fax | 631-629-2559
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Authorized Official
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Title or Position | OWN/PRESIDENT
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Name | DR. URMEN DESAI
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Credential | MD MPH
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Telephone | 310-880-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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