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General NPI Number Information
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NPI Number | 1538268560
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Entity Type | Organization
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Legal Business Name | ARUN K MITTAL MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 4305 TORRANCE BLVD SUITE 305
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City | TORRANCE
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State | CA
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Zip | 90503-4409
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Country | US
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Telephone | 310-792-5428
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Fax | 310-792-5358
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Provider Business Mailing Address
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Address Line | 868 VIA DEL MONTE
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-1664
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Country | US
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Telephone | 310-792-5428
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Fax | 310-792-5358
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARUN K MITTAL
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Credential | MD
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Telephone | 310-792-5428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A24691
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License Number State | CA
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