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General NPI Number Information
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NPI Number | 1184088049
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Entity Type | Organization
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Legal Business Name | CORONA REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 800 SOUTH MAIN STREET
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City | CORONA
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State | CA
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Zip | 92882
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Country | US
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Telephone | 951-736-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 800 S MAIN ST
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City | CORONA
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State | CA
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Zip | 92882-3420
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Country | US
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Telephone | 951-736-7200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSES
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Name | KIM COLONELLI
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Credential |
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Telephone | 951-736-7200
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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 | 385348
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License Number State | CA
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