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General NPI Number Information
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NPI Number | 1952628166
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Entity Type | Organization
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Legal Business Name | SURGI ART INC
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 9615 BRIGHTON WAY SUITE 303
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5131
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Country | US
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Telephone | 310-858-8811
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Fax | 310-858-8282
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Provider Business Mailing Address
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Address Line | 9615 BRIGHTON WAY SUITE 303
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5131
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Country | US
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Telephone | 310-858-8811
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Fax | 310-858-8282
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY SCOTT NEAVIN
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Credential | M.D.
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Telephone | 310-858-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A99678
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License Number State | CA
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