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General NPI Number Information
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NPI Number | 1689805905
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Entity Type | Organization
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Legal Business Name | PAMELA D. WEST M.D., INC.
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 13337 SOUTH ST STE. 617
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City | CERRITOS
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State | CA
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Zip | 90703-7308
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Country | US
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Telephone | 562-244-9522
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Fax | 562-924-5567
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Provider Business Mailing Address
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Address Line | 13337 SOUTH ST STE. 617
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City | CERRITOS
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State | CA
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Zip | 90703-7308
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Country | US
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Telephone | 562-244-9522
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Fax | 562-924-5567
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Authorized Official
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Title or Position | CEO
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Name | PAMELA WEST
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Credential | MD
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Telephone | 562-244-9522
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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 | G51864
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License Number State | CA
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