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General NPI Number Information
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NPI Number | 1215144076
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Entity Type | Organization
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Legal Business Name | MULTISPECIALTY SURGICAL GROUP INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 120 SOUTH SPALDING DRIVE #200
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City | BEVERLY HILLS
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State | CA
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Zip | 90212
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Country | US
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Telephone | 310-550-7766
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Fax | 310-550-1177
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Provider Business Mailing Address
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Address Line | 1146 NORTH CENTRAL AVE #101
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City | GLENDALE
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State | CA
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Zip | 91202
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Country | US
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Telephone | 310-550-7766
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Fax | 310-550-1177
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ANDRE ABOOLIAN
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Credential |
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Telephone | 310-550-7766
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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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