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General NPI Number Information
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NPI Number | 1144476805
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGICAL CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 14930 ISAMAR LN
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City | NORTH HILLS
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State | CA
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Zip | 91343-7839
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Country | US
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Telephone | 866-211-4054
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Fax | 310-861-0593
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Provider Business Mailing Address
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Address Line | 14930 ISAMAR LN
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City | NORTH HILLS
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State | CA
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Zip | 91343-7839
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Country | US
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Telephone | 866-211-4054
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Fax | 310-861-0593
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Authorized Official
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Title or Position | CEO
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Name | MR. WARREN LIM
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Credential |
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Telephone | 866-211-4054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | TCP23562
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License Number State | CA
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