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General NPI Number Information
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NPI Number | 1295052058
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Entity Type | Organization
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Legal Business Name | SANTA FE INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD SUITE 202
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City | LOS ANGELES
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State | CA
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Zip | 90017-3901
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Country | US
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Telephone | 213-250-0050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3909
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-9541
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BEATRIZ E TAMAYO
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Credential |
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Telephone | 213-250-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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