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General NPI Number Information
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NPI Number | 1558881771
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Entity Type | Organization
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Legal Business Name | BEL AIR SURGICAL INSTITUTE
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11847 WILSHIRE BLVD STE 302
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City | LOS ANGELES
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State | CA
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Zip | 90025-6634
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Country | US
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Telephone | 310-477-3954
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Fax | 310-473-5103
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Provider Business Mailing Address
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Address Line | 11847 WILSHIRE BLVD STE 302
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City | LOS ANGELES
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State | CA
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Zip | 90025-6634
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Country | US
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Telephone | 310-477-3954
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Fax | 310-473-5103
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Authorized Official
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Title or Position | MEDICAL BILLER/ADMINISTRATOR
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Name | MR. HOWARD WEINSTEIN
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Credential |
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Telephone | 818-207-2483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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