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General NPI Number Information
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NPI Number | 1144502170
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Entity Type | Organization
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Legal Business Name | OMEGA SURGICAL CENTER, INC.
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 2730 WILSHIRE BLVD STE 500
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City | SANTA MONICA
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State | CA
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Zip | 90403-4752
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Country | US
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Telephone | 310-776-7545
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 WILSHIRE BLVD STE 500
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City | SANTA MONICA
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State | CA
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Zip | 90403-4752
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Country | US
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Telephone | 310-776-7545
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | DR. PABLO PAZMINO
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Credential |
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Telephone | 310-776-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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