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General NPI Number Information
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NPI Number | 1235653049
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Entity Type | Organization
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Legal Business Name | PACIFIC ANESTHESIA PARTNERS
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 3711 LONG BEACH BLVD STE 101A
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City | LONG BEACH
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State | CA
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Zip | 90807-3300
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Country | US
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Telephone | 310-963-9727
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Fax |
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Provider Business Mailing Address
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Address Line | 1828 HOLMBY AVE APT 103
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City | LOS ANGELES
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State | CA
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Zip | 90025-4917
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GADI ARZANIPOUR
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Credential | DO
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Telephone | 310-963-9727
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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 |
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License Number State |
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