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General NPI Number Information
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NPI Number | 1295804698
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Entity Type | Organization
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Legal Business Name | BETH ARY MD INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 1441 AVOCADO AVE #203
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-640-7200
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Fax | 949-720-0203
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Provider Business Mailing Address
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Address Line | 1441 AVOCADO AVE #203
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-640-7200
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Fax | 949-720-0203
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Authorized Official
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Title or Position | MEDICAL DIRECTOR & CHIEF OF MEDICAL
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Name | DR. BETH ANNE ARY
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Credential | MD
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Telephone | 949-640-7200
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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 | G40599
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License Number State | CA
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