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General NPI Number Information
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NPI Number | 1265463608
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 1140 W LA VETA AVE STE 640
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City | ORANGE
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State | CA
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Zip | 92868-4228
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Country | US
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Telephone | 714-564-3300
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Fax | 949-231-5108
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Provider Business Mailing Address
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Address Line | 1140 W LA VETA AVE STE 640
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City | ORANGE
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State | CA
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Zip | 92868-4228
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Country | US
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Telephone | 714-564-3300
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Fax | 949-231-5108
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | LAWRENCE SANTORA
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Credential | M.D.
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Telephone | 714-564-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | W13178
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License Number State | CA
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