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General NPI Number Information
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NPI Number | 1366941296
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Entity Type | Organization
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Legal Business Name | GUY G MASSRY, MD INC
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 150 N ROBERTSON BLVD STE 314
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2145
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Country | US
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Telephone | 310-657-4302
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Fax | 310-657-4322
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Provider Business Mailing Address
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Address Line | 150 N ROBERTSON BLVD STE 314
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2145
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Country | US
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Telephone | 310-657-4302
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Fax | 310-657-4322
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Authorized Official
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Title or Position | BILLER
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Name | MARIA TRINIDAD
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Credential |
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Telephone | 310-657-4302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | G72245
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | CA
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