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General NPI Number Information
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NPI Number | 1396910915
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Entity Type | Organization
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Legal Business Name | DAVID GHAUSI DO INC
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 325 S MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91361-1008
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Country | US
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Telephone | 805-497-0244
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Fax | 805-497-0844
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Provider Business Mailing Address
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Address Line | 2220 LYNN RD SUITE 302
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1904
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Country | US
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Telephone | 805-497-0244
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Fax | 805-497-0844
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID GHAUSI
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Credential | DO
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Telephone | 805-497-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A8764
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License Number State | CA
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