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General NPI Number Information
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NPI Number | 1164834495
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Entity Type | Organization
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Legal Business Name | TRISTAR MEDICAL INDUSTRIAL GROUP
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 999 N TUSTIN AVE STE 201
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City | SANTA ANA
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State | CA
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Zip | 92705-6506
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Country | US
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Telephone | 714-975-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 999 N TUSTIN AVE STE 201
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City | SANTA ANA
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State | CA
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Zip | 92705-6506
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Country | US
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Telephone | 714-975-7950
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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. MICHAEL BARRI
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Credential |
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Telephone | 714-975-7950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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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 | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | CA
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