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General NPI Number Information
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NPI Number | 1710854021
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Entity Type | Organization
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Legal Business Name | TOWER SURGICAL GROUP
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST STE 880W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6155
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Country | US
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Telephone | 310-289-1518
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Fax | 310-289-1526
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST STE 880W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6155
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Country | US
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Telephone | 310-289-1518
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Fax | 310-289-1526
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JANET JACKSON
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Credential |
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Telephone | 310-289-1518
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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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