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General NPI Number Information
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NPI Number | 1639823701
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Entity Type | Organization
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Legal Business Name | BEVERLY HEALTH CARE INC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 3755 BEVERLY BLVD # 305
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City | LOS ANGELES
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State | CA
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Zip | 90004-3539
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Country | US
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Telephone | 323-426-9070
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Fax | 323-426-9381
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Provider Business Mailing Address
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Address Line | 3755 BEVERLY BLVD # 305
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City | LOS ANGELES
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State | CA
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Zip | 90004-3539
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Country | US
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Telephone | 323-426-9070
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Fax | 323-426-9381
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DHIA ALSARRAF
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Credential | MD
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Telephone | 323-426-9070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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