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General NPI Number Information
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NPI Number | 1023003811
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Entity Type | Organization
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Legal Business Name | ALL FAMILY HEALTHCARE CORP
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 101
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City | TEMECULA
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State | CA
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Zip | 92590-4858
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Country | US
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Telephone | 951-695-8501
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Fax | 951-695-8502
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Provider Business Mailing Address
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Address Line | PO BOX 2373
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City | SAN MARCOS
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State | CA
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Zip | 92079-2373
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Country | US
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Telephone | 951-736-4708
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Fax | 760-736-8108
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH NEVAREZ
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Credential | MD
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Telephone | 909-615-0215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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