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General NPI Number Information
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NPI Number | 1306392402
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Entity Type | Organization
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Legal Business Name | TRI CITY HOSPITAL
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 4002 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4506
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Country | US
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Telephone | 760-724-8411
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Fax | 760-940-3362
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Provider Business Mailing Address
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Address Line | 4002 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4506
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Country | US
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Telephone | 760-724-8411
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Fax | 760-940-3362
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Authorized Official
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Title or Position | CFO
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Name | RAY RIVAS
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Credential |
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Telephone | 760-940-7323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 080000099
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License Number State | CA
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