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General NPI Number Information
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NPI Number | 1932575867
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS WOMENS CENTER, INC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 16133 VENTURA BLVD SUITE 415
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City | ENCINO
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State | CA
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Zip | 91436-2403
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Country | US
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Telephone | 310-858-0505
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Fax | 310-858-7917
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Provider Business Mailing Address
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Address Line | PO BOX 629
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-0629
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Country | US
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Telephone | 310-858-0505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEHNAM KASHANCHI
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Credential | MD
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Telephone | 310-858-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C42282
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License Number State | CA
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