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General NPI Number Information
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NPI Number | 1679463483
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Entity Type | Organization
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Legal Business Name | MICROSURGICAL CONSULTANTS INC.
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 15031 RINALDI ST
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City | MISSION HILLS
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State | CA
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Zip | 91345-1207
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Country | US
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Telephone | 818-496-4530
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Fax |
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Provider Business Mailing Address
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Address Line | 5805 SEPULVEDA BLVD STE 690
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City | VAN NUYS
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State | CA
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Zip | 91411-2522
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Country | US
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Telephone | 310-650-4500
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Fax |
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Authorized Official
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Title or Position | CFO - SHAREHOLDER
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Name | DR. BRADLEY DAVID HATFIELD
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Credential | MD
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Telephone | 713-202-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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