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General NPI Number Information
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NPI Number | 1417272683
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Entity Type | Individual
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Provider Name | PETER STUART DOWNEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLAZA SUITE 630
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City | LOS ANGELES
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State | CA
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Zip | 90095-3733
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Country | US
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Telephone | 310-983-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 04-43788
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A146940
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License Number State | CA
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