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General NPI Number Information
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NPI Number | 1689471260
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Entity Type | Organization
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Legal Business Name | MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1425 W MANCHESTER AVE UNIT A1425
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City | LOS ANGELES
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State | CA
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Zip | 90047-5439
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Country | US
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Telephone | 310-242-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 S ALFRED ST # 1064
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City | LOS ANGELES
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State | CA
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Zip | 90035-2506
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Country | US
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Telephone | 310-212-1500
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DANIEL DAVIDSON
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Credential | MD PHD DBA ND
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Telephone | 310-212-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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