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General NPI Number Information
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NPI Number | 1326144031
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Entity Type | Organization
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Legal Business Name | A C W MEDICAL PRODUCTS INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 11500 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4917
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Country | US
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Telephone | 562-904-5000
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Fax | 562-904-5310
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Provider Business Mailing Address
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Address Line | PO BOX 7630
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92607-7630
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Country | US
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Telephone | 949-643-3345
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Fax | 949-643-3560
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM ARTERBERRY
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Credential | M.D.
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Telephone | 562-904-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D0547507
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License Number State | CA
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