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General NPI Number Information
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NPI Number | 1225192669
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Entity Type | Organization
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Legal Business Name | C.N.H.S, INC DBA CARENET HEALTH SYSTEM
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 130 MCCORMICK AVE SUITE 104
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City | COSTA MESA
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State | CA
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Zip | 92626-3316
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Country | US
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Telephone | 714-543-3301
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Fax | 714-541-3888
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Provider Business Mailing Address
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Address Line | 130 MCCORMICK AVE SUITE 104
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City | COSTA MESA
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State | CA
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Zip | 92626-3316
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Country | US
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Telephone | 714-543-3301
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Fax | 714-541-3888
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHIRLEY YU
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Credential |
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Telephone | 714-543-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | BL022006
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License Number State | CA
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