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General NPI Number Information
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NPI Number | 1245564798
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Entity Type | Organization
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Legal Business Name | CITIHEALTH SERVICES INC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 11850 WILSHIRE BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90025-6629
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Country | US
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Telephone | 323-389-1811
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 N VERMONT AVE STE 111
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City | LOS ANGELES
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State | CA
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Zip | 90027-5330
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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 | DARIUS ZAGUNIS
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Credential | MD
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Telephone | 323-389-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A86312
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License Number State | CA
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