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General NPI Number Information
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NPI Number | 1548987332
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Entity Type | Organization
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Legal Business Name | CALIFORNIA SURGICAL GROUP PC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 416 N BEDFORD DR STE 400
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4318
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Country | US
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Telephone | 212-427-3982
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Fax |
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Provider Business Mailing Address
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Address Line | 800A 5TH AVE STE 300A
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City | NEW YORK
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State | NY
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Zip | 10065-7215
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Country | US
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Telephone | 212-427-3982
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ANN COATS
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Credential |
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Telephone | 301-829-6396
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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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