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General NPI Number Information
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NPI Number | 1962876888
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS SURGICAL ARTS CENTER, INC.
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 9025 WILSHIRE BLVD STE 411
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1828
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Country | US
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Telephone | 310-490-6145
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Fax | 714-547-4710
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Provider Business Mailing Address
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Address Line | 9025 WILSHIRE BLVD STE 411
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1828
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Country | US
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Telephone | 310-490-6145
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Fax | 714-547-4710
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TARICK K. SMAILI
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Credential | MD
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Telephone | 310-490-6145
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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 | 75774
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License Number State | CA
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