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General NPI Number Information
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NPI Number | 1396926200
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Entity Type | Organization
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Legal Business Name | SERGEY BELIKOV, M.D., PROF. CORP.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 7300 MEDICAL CENTER DR
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City | WEST HILLS
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State | CA
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Zip | 91307-1902
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Country | US
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Telephone | 818-676-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7001
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City | TARZANA
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State | CA
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Zip | 91357-7001
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Country | US
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Telephone | 818-888-7815
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | SERGEY BELIKOV
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Credential | M.D.
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Telephone | 818-888-7815
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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 | A76721
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License Number State | CA
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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 | A76721
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License Number State | CA
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