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General NPI Number Information
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NPI Number | 1265714349
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Entity Type | Organization
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Legal Business Name | CARLOS M FIGUEROA, MD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 1118 E GREEN ST
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City | PASADENA
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State | CA
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Zip | 91106-2500
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Country | US
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Telephone | 626-795-5156
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Fax | 626-795-5013
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Provider Business Mailing Address
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Address Line | 1118 E GREEN ST
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City | PASADENA
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State | CA
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Zip | 91106-2500
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Country | US
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Telephone | 626-795-5156
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Fax | 626-795-5013
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS M FIGUEROA
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Credential | MD
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Telephone | 626-795-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G44673
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License Number State | CA
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