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General NPI Number Information
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NPI Number | 1609154673
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Entity Type | Organization
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Legal Business Name | L.A. EMERGENCY RETINA SURGERY
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD STE. 1620
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City | LOS ANGELES
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State | CA
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Zip | 90017-3901
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Country | US
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Telephone | 213-235-2960
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Fax | 323-686-5203
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Provider Business Mailing Address
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Address Line | 1127 WILSHIRE BLVD STE. 1620
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City | LOS ANGELES
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State | CA
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Zip | 90017-3901
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Country | US
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Telephone | 213-235-2960
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Fax | 323-686-5203
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FIRAS M RAHHAL
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Credential | M.D., INC
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Telephone | 213-235-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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