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General NPI Number Information
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NPI Number | 1457773442
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Entity Type | Organization
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Legal Business Name | VISTA OUTPATIENT SURGERY CENTER, INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 116 S BUENA VISTA ST # 200
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City | BURBANK
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State | CA
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Zip | 91505-4503
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Country | US
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Telephone | 747-477-1018
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Fax | 818-514-2699
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Provider Business Mailing Address
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Address Line | 116 S BUENA VISTA ST # 200
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City | BURBANK
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State | CA
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Zip | 91505-4503
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Country | US
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Telephone | 747-477-1018
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ARMEN VARTANY
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Credential | MD
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Telephone | 747-477-1018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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