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General NPI Number Information
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NPI Number | 1164465159
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Entity Type | Organization
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Legal Business Name | VENTURA ANESTHESIA MEDICAL GROUP
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 147 N BRENT ST
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City | VENTURA
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State | CA
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Zip | 93003-2809
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Country | US
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Telephone | 805-652-5044
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Fax | 805-650-9657
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Provider Business Mailing Address
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Address Line | 11999 SAN VICENTE BLVD #440
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City | LOS ANGELES
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State | CA
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Zip | 90049-5042
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Country | US
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Telephone | 310-440-3131
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Fax | 310-472-9582
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Authorized Official
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Title or Position | PARTNER
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Name | DR. KEE Y. LEE
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Credential | M.D.
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Telephone | 310-440-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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