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General NPI Number Information
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NPI Number | 1285974725
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Entity Type | Organization
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Legal Business Name | CENTER FOR HIP PRESERVATION AND CHILDREN'S ORTHOPAEDICS INC.
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 02/14/2014
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Provider Practice Location Address
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Address Line | 2023 W VISTA WAY SUITE B
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City | VISTA
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State | CA
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Zip | 92083-6030
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Country | US
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Telephone | 760-726-5800
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Fax | 760-726-5942
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Provider Business Mailing Address
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Address Line | 23052 ALICIA PKWY # 619
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City | MISSION VIEJO
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State | CA
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Zip | 92692-1643
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Country | US
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Telephone | 714-808-9797
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Fax | 714-808-9393
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | HARISH SADANAND HOLSALKAR
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Credential | M.D.
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Telephone | 760-726-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number |
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License Number State |
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