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General NPI Number Information
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NPI Number | 1720412281
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Entity Type | Organization
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Legal Business Name | S S MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 09/02/2013
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 18370 BURBANK BLVD SUITE 207
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City | TARZANA
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State | CA
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Zip | 91356-2804
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Country | US
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Telephone | 818-705-1200
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Fax | 818-691-2920
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Provider Business Mailing Address
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Address Line | 18370 BURBANK BLVD SUITE 207
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City | TARZANA
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State | CA
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Zip | 91356-2804
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Country | US
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Telephone | 818-705-1200
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Fax | 818-691-2920
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN PETER STILES
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Credential | MD
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Telephone | 818-705-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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