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General NPI Number Information
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NPI Number | 1679513279
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Entity Type | Individual
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Provider Name | STEPHEN ALEXANDER WESTERHOUT MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 770 PACIFIC COAST HWY
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City | SEAL BEACH
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State | CA
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Zip | 90740-6215
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Country | US
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Telephone | 949-350-0115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5486
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City | ORANGE
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State | CA
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Zip | 92863-5486
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Country | US
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Telephone | 818-550-0900
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Fax | 818-550-0900
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A76842
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License Number State | CA
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