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General NPI Number Information
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NPI Number | 1699416438
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS INSTITUTE FOR PAIN MANAGEMENT
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 640 S SAN VICENTE BLVD STE 481
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City | LOS ANGELES
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State | CA
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Zip | 90048-4666
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Country | US
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Telephone | 424-266-7878
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Fax | 424-266-7879
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Provider Business Mailing Address
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Address Line | 640 S SAN VICENTE BLVD STE 481
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City | LOS ANGELES
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State | CA
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Zip | 90048-4666
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Country | US
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Telephone | 424-266-7878
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Fax | 424-266-7879
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. SARO DORIAN
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Credential | DC
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Telephone | 424-266-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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