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General NPI Number Information
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NPI Number | 1851545917
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Entity Type | Organization
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Legal Business Name | ALPHA ANESTHESIA, INC
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 5456 VALLEY RIDGE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2231
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Country | US
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Telephone | 323-296-8671
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Fax | 323-296-8673
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Provider Business Mailing Address
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Address Line | 5456 VALLEY RIDGE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2231
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Country | US
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Telephone | 323-296-8671
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Fax | 323-296-8673
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY S FORD
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Credential | M.D
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Telephone | 323-296-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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