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General NPI Number Information
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NPI Number | 1679894349
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Entity Type | Organization
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Legal Business Name | BURAK M. OZGUR, M.D., INCORPORATED
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 05/25/2015
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Provider Practice Location Address
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Address Line | 361 HOSPITAL RD SUITE 224
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3522
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Country | US
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Telephone | 949-509-7905
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Fax | 949-387-1967
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Provider Business Mailing Address
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Address Line | 361 HOSPITAL RD 224
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3522
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Country | US
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Telephone | 714-258-0011
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Fax | 714-258-0154
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Authorized Official
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Title or Position | OWNER
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Name | DR. BURAK M. OZGUR
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Credential | M.D.
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Telephone | 949-509-7905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A74635
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License Number State | CA
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