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General NPI Number Information
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NPI Number | 1235305921
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS AESTHETIC & RECONSTRUCTIVE GROUP INC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 436 N ROXBURY DR #117
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-247-9090
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Fax | 310-247-9080
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Provider Business Mailing Address
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Address Line | 311 N ROBERTSON BLVD #240
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1705
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Country | US
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Telephone | 310-247-9090
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Fax | 310-247-9080
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Authorized Official
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Title or Position | MD OWNER
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Name | DARYOUSH D SAADAT
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Credential | MD
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Telephone | 310-247-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A61184
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | A61184
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License Number State | CA
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