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General NPI Number Information
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NPI Number | 1174316442
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Entity Type | Organization
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Legal Business Name | SURGILUXE INC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 804 7TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-1408
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Country | US
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Telephone | 310-998-5533
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Fax | 310-998-5530
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Provider Business Mailing Address
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Address Line | 804 7TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-1408
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Country | US
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Telephone | 310-998-5533
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Fax | 310-998-5530
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFFY LEON KARAMANOUKIAN
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Credential | MD
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Telephone | 310-998-5533
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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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