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General NPI Number Information
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NPI Number | 1316445984
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Entity Type | Organization
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Legal Business Name | HUMANOS SALUS LLC
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 1125 E 17TH ST STE E214
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City | SANTA ANA
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State | CA
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Zip | 92701-2219
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Country | US
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Telephone | 714-955-4776
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 E 17TH ST STE E214
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City | SANTA ANA
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State | CA
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Zip | 92701-2219
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Country | US
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Telephone | 714-955-4776
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID A SANCHEZ
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Credential | MD
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Telephone | 714-473-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number | 00350615
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License Number State | CA
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