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General NPI Number Information
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NPI Number | 1972777910
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Entity Type | Organization
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Legal Business Name | SURGICAL ARTS OF BEVERLY HILLS, INC.
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 9401 WILSHIRE BLVD SUITE 1105
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2928
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Country | US
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Telephone | 310-858-7500
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Fax | 310-858-2275
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Provider Business Mailing Address
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Address Line | 9401 WILSHIRE BLVD SUITE 1105
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2928
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Country | US
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Telephone | 310-858-7500
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Fax | 310-858-2275
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM A BRENNAN
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Credential | MD
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Telephone | 310-858-7500
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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 | G86810
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | G86810
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License Number State | CA
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