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General NPI Number Information
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NPI Number | 1861598757
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS GROUP OF WOMEN PHYSICIANS
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8641 WILSHIRE BLVD STE 102
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2919
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Country | US
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Telephone | 310-659-6210
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Fax | 310-659-5185
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Provider Business Mailing Address
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Address Line | 8641 WILSHIRE BLVD STE 102
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2919
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Country | US
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Telephone | 310-659-6210
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Fax | 310-659-5185
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. JANETH CORONA
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Credential |
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Telephone | 310-659-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G65679
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License Number State | CA
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