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General NPI Number Information
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NPI Number | 1194105429
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Entity Type | Organization
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Legal Business Name | WEST ANAHEIM MEDICAL CENTER
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 3033 W ORANGE AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-3156
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Country | US
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Telephone | 714-827-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3033 W ORANGE AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-3156
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Country | US
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Telephone | 714-827-3000
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Fax |
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Authorized Official
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Title or Position | GME PROGRAM DIRECTOR
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Name | DR. FARIBORZ SHAMS
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Credential | D.O.
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Telephone | 714-995-7503
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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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