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General NPI Number Information
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NPI Number | 1770976359
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Entity Type | Organization
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Legal Business Name | DOVE STREET SURGICAL CENTER
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 20341 SW BIRCH ST STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1517
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Country | US
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Telephone | 949-381-6471
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Fax | 949-200-6909
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Provider Business Mailing Address
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Address Line | 20341 SW BIRCH ST STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1517
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Country | US
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Telephone | 949-381-6471
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Fax | 949-200-6909
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KHYBER ZAFFARKHAN
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Credential | DO
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Telephone | 949-438-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 20A9973
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License Number State | CA
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