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General NPI Number Information
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NPI Number | 1184100471
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Entity Type | Organization
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Legal Business Name | CARE ALLIES IPA, INC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE STE 309
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City | ANAHEIM
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State | CA
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Zip | 92801-2811
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Country | US
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Telephone | 714-999-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 3321 HOLLYPARK DR APT 2
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City | INGLEWOOD
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State | CA
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Zip | 90305-4699
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Country | US
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Telephone | 323-394-5368
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Fax |
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Authorized Official
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Title or Position | PCP
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Name | DR. ARCHANA SHENDE
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Credential | MD
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Telephone | 714-999-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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