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General NPI Number Information
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NPI Number | 1306667134
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Entity Type | Organization
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Legal Business Name | SERVE THE PEOPLE, INC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 293 S MAIN ST STE 100
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City | ORANGE
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State | CA
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Zip | 92868-3843
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Country | US
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Telephone | 714-352-2911
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 E 17TH ST STE 101
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City | SANTA ANA
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State | CA
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Zip | 92701-2641
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Country | US
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Telephone | 714-352-2911
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DAVID A. BECERRA
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Credential |
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Telephone | 714-352-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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