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General NPI Number Information
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NPI Number | 1487679171
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Entity Type | Organization
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Legal Business Name | WILLIAM A. BEUTTLER, M.D., INC.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 147 N BRENT ST
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City | VENTURA
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State | CA
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Zip | 93003-2809
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Country | US
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Telephone | 805-652-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 11999 SAN VICENTE BLVD STE. 440
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City | LOS ANGELES
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State | CA
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Zip | 90049-5131
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Country | US
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Telephone | 310-440-3131
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM A. BEUTTLER
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Credential | M.D.
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Telephone | 310-440-3131
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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 | C41827
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License Number State | CA
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