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General NPI Number Information
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NPI Number | 1265468946
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Entity Type | Organization
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Legal Business Name | ALVARADO HOSPITAL, LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 6655 ALVARADO RD
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City | SAN DIEGO
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State | CA
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Zip | 92120-5208
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Country | US
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Telephone | 619-229-3172
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Fax | 619-229-3273
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Provider Business Mailing Address
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Address Line | 6655 ALVARADO RD
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City | SAN DIEGO
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State | CA
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Zip | 92120-5208
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Country | US
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Telephone | 619-229-3172
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Fax | 619-229-3273
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Authorized Official
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Title or Position | CHIEF COMPLIANCE COUNSEL
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Name | CHRISTOPHER DOAN
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Credential |
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Telephone | 909-235-4307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | HSP48400
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 090000013
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License Number State | CA
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