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General NPI Number Information
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NPI Number | 1003146291
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Entity Type | Organization
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Legal Business Name | ANDREW S. IRANIHA INC
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 496 OLD NEWPORT BLVD SUITE 2
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4263
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Country | US
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Telephone | 949-646-8444
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Fax | 949-646-8388
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Provider Business Mailing Address
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Address Line | 496 OLD NEWPORT BLVD SUITE 2
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4263
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Country | US
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Telephone | 949-646-8444
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Fax | 949-646-8388
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LEIGH C MURRAY
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Credential |
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Telephone | 949-646-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A055391
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License Number State | CA
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