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General NPI Number Information
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NPI Number | 1831509520
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Entity Type | Organization
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Legal Business Name | BEVERLY HOSPITALIST GROUP INCORPORATED
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 101 E BEVERLY BLVD SUITE 401
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City | MONTEBELLO
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State | CA
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Zip | 90640-4317
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Country | US
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Telephone | 323-722-2260
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Fax | 323-722-2130
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Provider Business Mailing Address
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Address Line | 101 E BEVERLY BLVD SUITE 401
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City | MONTEBELLO
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State | CA
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Zip | 90640-4317
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Country | US
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Telephone | 323-722-2260
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Fax | 323-722-2130
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMMAD CHAUDHRY
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Credential |
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Telephone | 323-722-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A54998
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A54998
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A54998
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License Number State | CA
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