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General NPI Number Information
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NPI Number | 1033252333
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Entity Type | Organization
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Legal Business Name | UNION MEDICAL CLINIC INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5421 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255
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Country | US
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Telephone | 323-587-9141
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Fax | 323-587-6074
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Provider Business Mailing Address
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Address Line | PO BOX 2189 5421 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255
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Country | US
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Telephone | 323-587-9141
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Fax | 323-587-6074
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORENZO A ALAAN
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Credential | MD
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Telephone | 323-587-9141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A35589
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License Number State | CA
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