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General NPI Number Information
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NPI Number | 1295237246
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Entity Type | Organization
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Legal Business Name | AFFILIATED PARTNERS IPA
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 555 E PACIFIC COAST HWY STE 102
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City | LONG BEACH
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State | CA
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Zip | 90806-5579
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Country | US
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Telephone | 562-287-8887
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 N JEFFERSON ST UNIT D
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City | ANAHEIM
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State | CA
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Zip | 92807-1630
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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 | CEO
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Name | JONATHAN TUAN NGUYEN
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Credential | M.D.
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Telephone | 562-591-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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