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General NPI Number Information
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NPI Number | 1235521212
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Entity Type | Organization
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Legal Business Name | AMERCO HEALTH ENTERPRISE, INC
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 1006 E BASTANCHURY RD
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City | FULLERTON
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State | CA
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Zip | 92835-2782
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Country | US
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Telephone | 714-921-3870
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Fax |
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Provider Business Mailing Address
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Address Line | 18806 ACADEMY CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1514
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Country | US
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Telephone | 714-655-3985
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Fax | 714-921-3865
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNE AHMAD AMER
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Credential | DO
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Telephone | 714-655-3985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A10596
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License Number State | CA
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