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General NPI Number Information
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NPI Number | 1548104524
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Entity Type | Organization
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Legal Business Name | THE SURGERY GROUP PA
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 16133 VENTURA BLVD STE 160
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City | ENCINO
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State | CA
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Zip | 91436-2403
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Country | US
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Telephone | 888-389-7484
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Fax | 888-389-7484
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Provider Business Mailing Address
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Address Line | 16133 VENTURA BLVD STE 160
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City | ENCINO
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State | CA
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Zip | 91436-2403
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Country | US
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Telephone | 888-389-7484
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Fax | 888-389-7484
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHRISTOPHER DUVALL
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Credential | MD
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Telephone | 888-389-7484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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