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General NPI Number Information
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NPI Number | 1285249359
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Entity Type | Organization
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Legal Business Name | FIRST ACCESS MEDICAL, INC.
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 5525 DEWEY DR STE 106
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City | FAIR OAKS
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State | CA
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Zip | 95628-3130
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Country | US
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Telephone | 916-877-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 5525 DEWEY DR STE 106
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City | FAIR OAKS
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State | CA
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Zip | 95628-3130
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Country | US
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Telephone | 916-877-8511
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Fax |
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Authorized Official
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Title or Position | FACILITY OWNER
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Name | MRS. LEILA LOPEZ-SAVALA
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Credential | MMA, BSN
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Telephone | 916-459-9166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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