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General NPI Number Information
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NPI Number | 1477699338
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Entity Type | Organization
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Legal Business Name | MESO SOLUTIONS, MD A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 14545 FRIAR ST #104
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City | VAN NUYS
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State | CA
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Zip | 91411-2357
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Country | US
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Telephone | 818-908-9135
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Fax | 818-908-5983
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Provider Business Mailing Address
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Address Line | 14545 FRIAR STREET #104
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City | VAN NUYS
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State | CA
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Zip | 91411
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Country | US
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Telephone | 818-908-9135
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Fax | 818-908-5983
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ALFREDO PASCALI
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Credential | M.D
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Telephone | 818-908-9135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | A33673
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License Number State | CA
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