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General NPI Number Information
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NPI Number | 1548285307
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Entity Type | Organization
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Legal Business Name | OXNARD CAMARILLO ANESTHESIOLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 2309 ANTONIO AVE
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City | CAMARILLO
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State | CA
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Zip | 93010-1414
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Country | US
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Telephone | 805-988-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 W MARCH LN STE. 200
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City | STOCKTON
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State | CA
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Zip | 95219-2369
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Country | US
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Telephone | 209-473-6555
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Fax | 209-473-6544
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. JON P. BELLEVILLE
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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 |
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License Number State |
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