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General NPI Number Information
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NPI Number | 1306482310
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Entity Type | Organization
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Legal Business Name | JANUS MANAGEMENT PROJECT
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 8641 WILSHIRE BLVD STE 305
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2921
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Country | US
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Telephone | 310-772-2866
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Fax |
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Provider Business Mailing Address
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Address Line | 8549 WILSHIRE BLVD STE 1158
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3104
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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 | NIMA SHEMIRANI
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Credential | MD
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Telephone | 310-772-2866
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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 |
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License Number State |
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Taxonomy #2
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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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