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General NPI Number Information
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NPI Number | 1609255405
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Entity Type | Organization
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Legal Business Name | C7 SURGICAL SOLUTIONS INC
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 800 S RAYMOND AVE THIRD FLOOR
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City | PASADENA
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State | CA
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Zip | 91105-3229
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Country | US
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Telephone | 626-396-1260
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Fax | 626-396-1269
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Provider Business Mailing Address
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Address Line | PO BOX 90730
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City | PASADENA
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State | CA
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Zip | 91109-0730
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Country | US
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Telephone | 626-795-7036
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Fax | 626-795-7374
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM M COSTIGAN
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Credential | MD
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Telephone | 626-396-1285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | CA
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