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NPI 1508551276

NPI 1508551276 : PREMIER SURGICAL INSTITUTE INC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1508551276
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    Entity Type          |    Organization 
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    Legal Business Name  |    PREMIER SURGICAL INSTITUTE INC 
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Dates
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    Enumeration Date     |    04/10/2023
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    5500 MING AVE STE 320 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4680
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    Country              |    US
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    Telephone            |    661-484-2028
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    Fax                  |    661-200-9700
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Provider Business Mailing Address
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    Address Line         |    5500 MING AVE STE 320 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-4680
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    Country              |    US
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    Telephone            |    661-484-2028
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    Fax                  |    661-200-9700
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     RAVI  KAPADIA 
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    Credential           |    MD
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    Telephone            |    281-468-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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