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General NPI Number Information
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NPI Number | 1053735985
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Entity Type | Organization
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Legal Business Name | LIVER CENTER OF SALINAS
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 505 E ROMIE LN STE E
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-975-4224
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Fax | 831-975-4365
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Provider Business Mailing Address
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Address Line | 505 E ROMIE LN STE E
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-975-4224
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Fax | 831-975-4365
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW CARLSON
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Credential |
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Telephone | 831-676-0311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 12460
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License Number State | CA
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