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General NPI Number Information
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NPI Number | 1073494183
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Entity Type | Organization
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Legal Business Name | ADVOCATES FOR MEDICAL EXPANSION
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3010 E SUSSEX PRIVADO
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City | ONTARIO
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State | CA
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Zip | 91762-5523
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Country | US
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Telephone | 626-672-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 E SUSSEX PRIVADO
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City | ONTARIO
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State | CA
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Zip | 91762-5523
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Country | US
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Telephone | 626-672-9003
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TYREL JOSEPH BACALSO ROSELL
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Credential | MSW
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Telephone | 626-672-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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