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General NPI Number Information
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NPI Number | 1881633287
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Entity Type | Organization
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Legal Business Name | CEDARS TOWERS SURGICAL MEDICAL GROUP
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST STE 350W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6112
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Country | US
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Telephone | 310-595-2700
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Fax | 424-278-1390
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Provider Business Mailing Address
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Address Line | 8635 W 3RD ST STE 350W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6112
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Country | US
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Telephone | 310-595-2700
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Fax | 424-278-1390
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DANIEL S DUNKELMAN
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Credential | M. D.
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Telephone | 310-595-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | CA
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