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General NPI Number Information
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NPI Number | 1104786326
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Entity Type | Organization
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Legal Business Name | CITY OF ANAHEIM
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 500 E BROADWAY
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City | ANAHEIM
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State | CA
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Zip | 92805-4005
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Country | US
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Telephone | 714-765-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S ANAHEIM BLVD STE 300
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City | ANAHEIM
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State | CA
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Zip | 92805-3858
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Country | US
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Telephone | 714-765-4000
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Fax |
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Authorized Official
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Title or Position | BATTALION CHIEF
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Name | ROBERT STUART
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Credential |
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Telephone | 714-765-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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