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General NPI Number Information
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NPI Number | 1184323743
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Entity Type | Organization
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Legal Business Name | SEASIDE HEALTH SOLUTIONS INC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 16882 BOLSA CHICA ST STE 106
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3592
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Country | US
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Telephone | 909-248-3842
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Fax |
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Provider Business Mailing Address
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Address Line | 16882 BOLSA CHICA ST STE 106
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3592
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Country | US
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Telephone | 909-248-3842
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY MULDOWNEY
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Credential |
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Telephone | 909-248-3842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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