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General NPI Number Information
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NPI Number | 1205222122
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Entity Type | Individual
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Provider Name | GAURAV GARG MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3628 E IMPERIAL HWY STE 408
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City | LYNWOOD
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State | CA
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Zip | 90262-2646
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Country | US
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Telephone | 310-554-4127
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Fax |
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Provider Business Mailing Address
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Address Line | 3363 E 1ST ST
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City | LONG BEACH
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State | CA
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Zip | 90803-2607
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Country | US
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Telephone | 410-382-7040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | A171854
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | A171854
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License Number State | CA
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