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General NPI Number Information
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NPI Number | 1184234726
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Entity Type | Organization
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Legal Business Name | ACCESS COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 520 N MAIN ST STE 120
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City | SANTA ANA
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State | CA
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Zip | 92701-4623
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Country | US
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Telephone | 714-352-5800
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Fax | 714-352-5801
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Provider Business Mailing Address
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Address Line | 520 N MAIN ST STE 120
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City | SANTA ANA
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State | CA
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Zip | 92701-4623
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Country | US
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Telephone | 714-352-5800
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Fax | 714-352-5801
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Authorized Official
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Title or Position | CMO
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Name | ALVIN CHANG
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Credential | MD
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Telephone | 714-501-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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