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General NPI Number Information
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NPI Number | 1942006960
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Entity Type | Organization
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Legal Business Name | CROSSSAV SURGICAL CENTER INC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 15030 7TH ST
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City | VICTORVILLE
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State | CA
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Zip | 92395-3811
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Country | US
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Telephone | 818-577-9082
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Fax |
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Provider Business Mailing Address
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Address Line | 4830 LA MONTANA CIR
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City | TARZANA
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State | CA
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Zip | 91356-4818
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Country | US
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Telephone | 818-577-9082
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HANY MALEK
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Credential | DC
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Telephone | 818-577-9082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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