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General NPI Number Information
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NPI Number | 1780152413
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS HYPERBARICS, LLC
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 1125 S BEVERLY DR STE 405
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City | LOS ANGELES
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State | CA
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Zip | 90035-1152
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Country | US
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Telephone | 775-721-3287
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 S BEVERLY DR STE 405
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City | LOS ANGELES
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State | CA
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Zip | 90035-1152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTRACTING
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Name | RICHARD FLYER
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Credential |
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Telephone | 775-721-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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