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General NPI Number Information
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NPI Number | 1487327201
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Entity Type | Organization
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Legal Business Name | B&B MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 16506 LAKEWOOD BLVD STE 200
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City | BELLFLOWER
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State | CA
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Zip | 90706-5165
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Country | US
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Telephone | 562-888-8961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411185
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City | BOSTON
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State | MA
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Zip | 02241-1185
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Country | US
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Telephone | 610-644-8900
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Fax | 484-924-0053
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANTHONY BECKER
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Credential | MD
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Telephone | 310-493-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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