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General NPI Number Information
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NPI Number | 1245021450
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Entity Type | Organization
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Legal Business Name | BARIATRIC INSTITUTE, APC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 790 E WILLOW ST STE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-2714
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Country | US
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Telephone | 657-216-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 790 E WILLOW ST STE 100
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City | LONG BEACH
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State | CA
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Zip | 90806-2714
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Country | US
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Telephone | 657-216-6090
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | RANDALL CORNATEANU
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Credential | MD
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Telephone | 310-710-5871
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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 |
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License Number State |
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