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General NPI Number Information
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NPI Number | 1457546327
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS SHOULDER AND KNEE A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 444 S SAN VICENTE BLVD STE 603
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City | LOS ANGELES
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State | CA
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Zip | 90048-4178
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Country | US
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Telephone | 310-423-9898
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Fax | 310-423-9285
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Provider Business Mailing Address
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Address Line | 444 S SAN VICENTE BLVD STE 603
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City | LOS ANGELES
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State | CA
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Zip | 90048-4178
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Country | US
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Telephone | 310-423-9898
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Fax | 310-423-9285
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Authorized Official
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Title or Position | MD
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Name | DR. JUSTIN DAVID SALIMAN
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Credential |
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Telephone | 310-423-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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