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General NPI Number Information
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NPI Number | 1184718850
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Entity Type | Organization
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Legal Business Name | EDWARD S. AKKAWAY, M.D
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 13160 MINDANAO WAY STE 150
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6393
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Country | US
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Telephone | 310-574-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 13160 MINDANAO WAY STE 150
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City | MARINA DEL REY
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State | CA
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Zip | 90292-6393
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Country | US
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Telephone | 310-574-0440
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICAL
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Name | EDWARD AKKAWAY
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Credential | M.D.
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Telephone | 310-574-0440
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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 | A72465
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License Number State | CA
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