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General NPI Number Information
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NPI Number | 1124150768
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Entity Type | Organization
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Legal Business Name | NATIONAL AMBULATORY HERNIA INSTITUTE
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1837 SUNNYCREST DR
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City | FULLERTON
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State | CA
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Zip | 92835-3616
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Country | US
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Telephone | 714-446-6670
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Fax | 714-446-6668
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Provider Business Mailing Address
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Address Line | 1837 SUNNYCREST DR
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City | FULLERTON
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State | CA
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Zip | 92835-3616
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Country | US
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Telephone | 714-446-6670
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Fax | 714-446-6668
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RUTH BRIGGS
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Credential |
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Telephone | 714-446-6670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 127922
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License Number State | CA
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