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General NPI Number Information
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NPI Number | 1629960281
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Entity Type | Organization
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Legal Business Name | AT BELLA SURGERY INC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 17931 EUCLID ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5409
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Country | US
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Telephone | 714-966-2888
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Fax | 714-966-2999
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Provider Business Mailing Address
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Address Line | 17931 EUCLID ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5409
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Country | US
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Telephone | 714-966-2888
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Fax | 714-966-2999
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. ROBERT F GITTERMANN II
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Credential |
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Telephone | 562-368-8358
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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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