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General NPI Number Information
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NPI Number | 1588348064
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Entity Type | Organization
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Legal Business Name | BAYSHORE SURGICAL CENTER
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 14378 VENTURA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2756
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Country | US
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Telephone | 818-581-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 14332 VENTURA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2717
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Country | US
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Telephone | 818-605-9333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NAVEED NATANZI
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Credential | DO
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Telephone | 818-605-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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