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General NPI Number Information
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NPI Number | 1225611312
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Entity Type | Organization
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Legal Business Name | TPIRC MEDICAL FOUNDATION INC
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 701 E 28TH ST STE 419
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City | LONG BEACH
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State | CA
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Zip | 90806-2775
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Country | US
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Telephone | 562-353-5907
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2246
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City | SEAL BEACH
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State | CA
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Zip | 90740-1246
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Country | US
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Telephone | 562-353-5907
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANOOP LOHARA
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Credential |
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Telephone | 805-501-6217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology 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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number |
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License Number State |
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