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General NPI Number Information
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NPI Number | 1275622763
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CARE
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1820 W LINCOLN AVENUE
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City | ANAHEIM
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State | CA
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Zip | 92801-6730
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Country | US
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Telephone | 714-635-0593
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Fax | 714-774-4784
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Provider Business Mailing Address
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Address Line | 1600 E HILL STREET
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City | SIGNAL HILL
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State | CA
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Zip | 90755-3682
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Country | US
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Telephone | 562-424-6200
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Fax | 562-427-4634
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | JOHN DONALD ADAMS JR.
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Credential | DO
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Telephone | 562-981-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | KNOX-KEENE 933-0209
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License Number State | CA
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