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General NPI Number Information
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NPI Number | 1306045349
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Entity Type | Organization
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Legal Business Name | CENCAL HEALTH
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 110 CASTILIAN DR
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City | GOLETA
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State | CA
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Zip | 93117-3028
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Country | US
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Telephone | 805-685-9525
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Fax | 805-685-9795
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Provider Business Mailing Address
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Address Line | 110 CASTILIAN DR
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City | GOLETA
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State | CA
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Zip | 93117-3028
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Country | US
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Telephone | 805-685-9525
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Fax | 805-685-9795
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID AMBROSE
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Credential |
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Telephone | 805-685-9525
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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 | CA
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