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General NPI Number Information
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NPI Number | 1639978216
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Entity Type | Organization
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Legal Business Name | DBMD INC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 691 S HARVARD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90005-2513
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Country | US
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Telephone | 213-235-5388
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Fax | 475-313-1265
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Provider Business Mailing Address
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Address Line | 691 S HARVARD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90005-2513
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Country | US
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Telephone | 213-235-5388
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Fax | 475-313-1265
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. DENNIS BANG
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Credential | MD
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Telephone | 213-929-3828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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