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General NPI Number Information
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NPI Number | 1104032564
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Entity Type | Organization
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Legal Business Name | ANAHIEM MEMORIAL MEDICAL CENTER
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1111 W LA PALMA AVE 1111 W LA PALMA AVENUE
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City | ANAHEIM
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State | CA
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Zip | 92801-2804
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Country | US
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Telephone | 714-999-3800
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Fax | 714-999-6087
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Provider Business Mailing Address
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Address Line | 1111 W LA PALMA AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-2804
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Country | US
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Telephone | 714-999-3800
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Fax | 714-999-6087
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | DR. LESLIE H ONO
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Credential | PHARMD
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Telephone | 714-999-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HSP45448
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License Number State | CA
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