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General NPI Number Information
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NPI Number | 1750330627
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Entity Type | Organization
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Legal Business Name | VALENCIA ANESTHESIA MEDICAL GROUP
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 23845 MCBEAN PKWY
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City | VALENCIA
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State | CA
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Zip | 91355-2001
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Country | US
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Telephone | 661-253-8000
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Fax | 626-396-0851
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Provider Business Mailing Address
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Address Line | PO BOX 60790
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City | PASADENA
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State | CA
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Zip | 91116-6790
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Country | US
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Telephone | 626-795-9596
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Fax | 626-396-0851
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | REUEL S ASINAS
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Credential | M.D.
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Telephone | 626-795-6596
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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 | G76738
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G76738
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License Number State | CA
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