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General NPI Number Information
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NPI Number | 1013231893
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PHYSICIAN CONSULTANTS, PC
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 26730 CROWN VALLEY PKWY SUITE 200
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6364
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Country | US
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Telephone | 949-505-2888
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Fax | 949-364-2110
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Provider Business Mailing Address
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Address Line | DEPT 5043
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City | LOS ANGELES
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State | CA
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Zip | 90084-0001
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Country | US
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Telephone | 330-470-3700
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Fax | 330-497-7940
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Authorized Official
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Title or Position | PRESIDENT
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Name | E. PAUL REID
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Credential | MD
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Telephone | 408-347-4051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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