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General NPI Number Information
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NPI Number | 1609418482
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Entity Type | Organization
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Legal Business Name | ZAMPELL MICROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/12/2019
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 416 N BEDFORD DR STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4317
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Country | US
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Telephone | 310-620-8750
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Fax | 310-620-8751
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Provider Business Mailing Address
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Address Line | 416 N BEDFORD DR STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4317
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Country | US
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Telephone | 310-620-8750
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Fax | 310-620-8751
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE ZAMPELL
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Credential | MD
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Telephone | 917-599-8702
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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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