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General NPI Number Information
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NPI Number | 1104928241
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Entity Type | Organization
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Legal Business Name | VAMC-LONG BEACH
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 562-826-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 17819 CRIMSON CREST DR
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-4357
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Country | US
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Telephone | 626-913-7453
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MRS. CHRISTINE Y CHOW
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Credential | PA-C
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Telephone | 562-826-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 13343
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License Number State | CA
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