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General NPI Number Information
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NPI Number | 1023383049
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Entity Type | Organization
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Legal Business Name | QUALITY CARE FAMILY PRACTICE
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 2083 COMPTON AVE
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City | CORONA
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State | CA
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Zip | 92881-7283
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Country | US
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Telephone | 714-833-1429
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Fax | 951-639-3786
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Provider Business Mailing Address
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Address Line | PO BOX 77086
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City | CORONA
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State | CA
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Zip | 92877-0102
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Country | US
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Telephone | 714-833-1429
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Fax | 951-639-3786
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ANURADHA SATHYA
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Credential | M.D.
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Telephone | 714-833-1429
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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 | A70869
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License Number State | CA
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