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General NPI Number Information
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NPI Number | 1457013617
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Entity Type | Organization
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Legal Business Name | CENTURY CITY ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E STE 501
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City | LOS ANGELES
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State | CA
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Zip | 90067-2008
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Country | US
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Telephone | 443-831-2561
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Fax | 424-344-3654
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E STE 501
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City | LOS ANGELES
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State | CA
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Zip | 90067-2008
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Country | US
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Telephone | 443-831-2561
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Fax | 424-344-3654
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Authorized Official
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Title or Position | PRESIDENT
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Name | BABAK MOEINOLMOLKI
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Credential | MD
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Telephone | 443-831-2561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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