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General NPI Number Information
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NPI Number | 1821324666
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Entity Type | Organization
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Legal Business Name | PAUL NASSIF MD INC
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 120 S SPALDING DR STE 315
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1836
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Country | US
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Telephone | 310-275-2467
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Fax | 310-275-6651
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Provider Business Mailing Address
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Address Line | 120 S SPALDING DR STE 315
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1836
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Country | US
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Telephone | 310-275-2467
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Fax | 310-275-6651
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL S. NASSIF
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Credential | M.D
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Telephone | 310-275-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | G84590
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License Number State | CA
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