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NPI 1124296496

NPI 1124296496 : L. MAYELA SAENZ, M.D., INC : ANAHEIM, CA

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General NPI Number Information
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    NPI Number           |    1124296496
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    Entity Type          |    Organization 
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    Legal Business Name  |    L. MAYELA SAENZ, M.D., INC 
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Dates
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    Enumeration Date     |    02/20/2008
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    Last Update Date     |    02/20/2008
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Provider Practice Location Address
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    Address Line         |    1203 N EUCLID ST 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-1954
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    Country              |    US
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    Telephone            |    714-224-3388
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    Fax                  |    714-224-3378
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Provider Business Mailing Address
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    Address Line         |    1203 N EUCLID ST 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92801-1954
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    Country              |    US
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    Telephone            |    714-224-3388
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    Fax                  |    714-224-3378
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |     LUCY MAYELA SAENZ 
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    Credential           |    M.D.
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    Telephone            |    714-224-3388
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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       |    A56461
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    License Number State |    CA
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