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General NPI Number Information
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NPI Number | 1285050450
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Entity Type | Organization
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Legal Business Name | JOHN H MITCHELL MD INC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 2874 E IMPERIAL HWY
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City | BREA
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State | CA
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Zip | 92821-6714
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Country | US
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Telephone | 714-996-2390
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Fax | 714-996-2301
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Provider Business Mailing Address
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Address Line | 2874 E IMPERIAL HWY
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City | BREA
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State | CA
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Zip | 92821-6714
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Country | US
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Telephone | 714-996-2390
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Fax | 714-996-2301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN HUGH MITCHELL
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Credential | M.D.
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Telephone | 714-996-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A42500
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License Number State | CA
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