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General NPI Number Information
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NPI Number | 1962787820
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Entity Type | Organization
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Legal Business Name | REGAL SURGICAL, INC.
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 444 S SAN VICENTE BLVD SUITE 901.7D
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City | LOS ANGELES
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State | CA
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Zip | 90048-4165
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Country | US
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Telephone | 818-643-1688
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Fax | 310-248-7396
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Provider Business Mailing Address
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Address Line | 444 S SAN VICENTE BLVD SUITE 901.7D
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City | LOS ANGELES
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State | CA
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Zip | 90048-4165
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Country | US
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Telephone | 818-643-1688
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Fax | 310-248-7396
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL KROPF
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Credential | M.D.
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Telephone | 310-248-7322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | CA
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