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General NPI Number Information
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NPI Number | 1154054641
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Entity Type | Organization
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Legal Business Name | VENTURA NEUROSURGERY INC
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Dates
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Enumeration Date | 07/02/2022
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Last Update Date | 07/02/2022
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Provider Practice Location Address
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Address Line | 1687 ERRINGER RD STE 103
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City | SIMI VALLEY
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State | CA
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Zip | 93065-6509
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Country | US
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Telephone | 310-927-1286
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 COCHRAN ST STE 355
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2780
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AMANDIP SINGH GILL
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Credential | MD
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Telephone | 310-927-1286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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