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General NPI Number Information
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NPI Number | 1194080358
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Entity Type | Organization
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Legal Business Name | HARBOR-UCLA MEDICAL CENTER
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST BOX 2
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 408-504-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 808 LONGFELLOW DR
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City | FREMONT
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State | CA
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Zip | 94539-6310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TRANSITIONAL YEAR PROGRAM DIRECTOR
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Name | DARRELL HARRINGTON
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Credential | MD
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Telephone | 310-222-2903
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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 |
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License Number State |
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